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1659817013
JACQUIE KATHLEEN JENKINS
POCATELLO, ID
NPI
1659817013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1373)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
Mrs. JACQUIE KATHLEEN JENKINS COTA/L
527 MEMORIAL DRIVE
POCATELLO, ID 83201
Phone number: 208-478-3333
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Mailing Address
Mrs. JACQUIE KATHLEEN JENKINS COTA/L
4913 PLEASANT VIEW DR
CHUBBUCK, ID 83202
Phone number: 208-380-3838
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