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1144784349
JAMIE LYN SEELEY
IDAHO FALLS, ID
NPI
1144784349
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Former Name
JAMIE LYN CARPENTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-5114)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
JAMIE LYN SEELEY PTA
3111 CHANNING WAY
IDAHO FALLS, ID 83404-7534
Phone number: 208-529-0067
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Mailing Address
JAMIE LYN SEELEY PTA
616 MELROSE DR
IDAHO FALLS, ID 83401-3251
Phone number: 208-589-1879
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