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1831506351
JACOB CHRISTOPHER WHITE
BOISE, ID
NPI
1831506351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ R2459)
Enumeration Date
2014-07-16
Last Update Date
2021-04-21
Business Address
JACOB CHRISTOPHER WHITE D.O.
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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Mailing Address
JACOB CHRISTOPHER WHITE D.O.
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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