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1881314144
BRANDY RENEE' JACOBS
BOISE, ID
NPI
1881314144
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Former Name
BRANDY DOWNS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other Surgical Assistant
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
BRANDY RENEE' JACOBS CSFA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 509-552-5641
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Mailing Address
BRANDY RENEE' JACOBS CSFA
10545 W CAROLINA DR
BOISE, ID 83709-2495
Phone number: 509-552-5641
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