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1922366582
JAMIE L ESHOM
BOISE, ID
NPI
1922366582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-1074)
Enumeration Date
2012-05-01
Last Update Date
2024-08-31
Business Address
JAMIE L ESHOM COTA/L
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4635
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Mailing Address
JAMIE L ESHOM COTA/L
547 S PELICAN WAY
MERIDIAN, ID 83642-2886
Phone number: 208-570-4440
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