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1215270053
CRISTA ANN JARDINE
AMMON, ID
NPI
1215270053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: ID PTA-110)
Enumeration Date
2013-03-29
Last Update Date
2013-03-29
Business Address
MRS. CRISTA ANN JARDINE PTA
2499 FIELDSTONE DR
AMMON, ID 83401-5854
Phone number: 208-681-6677
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Mailing Address
MRS. CRISTA ANN JARDINE PTA
2499 FIELDSTONE DR
AMMON, ID 83401-5854
Phone number: 208-681-6677
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