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1679524920
SHELLEY MARIE JACKS
BOISE, ID
NPI
1679524920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ID M7159)
Enumeration Date
2006-05-12
Last Update Date
2011-04-08
Business Address
-- SHELLEY MARIE JACKS MD
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
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Mailing Address
-- SHELLEY MARIE JACKS MD
PO BOX 4268
PORTLAND, OR 97208-4268
Phone number: 503-372-2740
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