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1487026191
JESSE J BALLS
JEROME, ID
NPI
1487026191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-1439)
Enumeration Date
2015-10-21
Last Update Date
2021-04-08
Business Address
JESSE J BALLS PA-C
218 W NEZ PERCE
JEROME, ID 83338-5193
Phone number: 208-324-3471
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Mailing Address
JESSE J BALLS PA-C
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-737-6718
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