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1851676910
JACOB CHARLES WATSON
NAMPA, ID
NPI
1851676910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-100302)
Enumeration Date
2011-10-19
Last Update Date
2014-11-10
Business Address
-- JACOB CHARLES WATSON O.D.
901 12TH AVE S
NAMPA, ID 83651-4658
Phone number: 208-466-9251
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Mailing Address
-- JACOB CHARLES WATSON O.D.
901 12TH AVE S
NAMPA, ID 83651-4658
Phone number: 208-466-9251
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