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1851953160
SHEILA DIANE JACOBS
FRUITLAND, ID
NPI
1851953160
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Former Name
SHEILA LESTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1486)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
SHEILA DIANE JACOBS MPT
1255 N ALLEN AVE
FRUITLAND, ID 83619-2208
Phone number: 208-297-5676
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Mailing Address
SHEILA DIANE JACOBS MPT
2965 E TARPON DR STE 150
MERIDIAN, ID 83642-9007
Phone number: 208-287-9420
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