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1265820229
JIE YAN
BOISE, ID
NPI
1265820229
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Other Name
JENNY YAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1218)
Enumeration Date
2014-12-29
Last Update Date
2015-02-24
Business Address
-- JIE YAN PA
12273 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-367-6330
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Mailing Address
-- JIE YAN PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-6330
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