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1790989945
JACOB BENJAMIN ROBERTS
IDAHO FALLS, ID
NPI
1790989945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT - 2217)
Enumeration Date
2007-06-12
Last Update Date
2007-07-31
Business Address
DR. JACOB BENJAMIN ROBERTS DPT
1542 ELK CREEK DR SUITE B
IDAHO FALLS, ID 83404-8322
Phone number: 208-521-7336
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Mailing Address
DR. JACOB BENJAMIN ROBERTS DPT
1169 WASHBURN AVE
IDAHO FALLS, ID 83402-1607
Phone number: 208-521-7336
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