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1770083529
JACOB HAMMER
BOISE, ID
NPI
1770083529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID 37732)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
JACOB HAMMER
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0895
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Mailing Address
JACOB HAMMER
3755 W IDAHO BLVD
EMMETT, ID 83617-8922
Phone number: 208-369-6262
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