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1528654704
JESSA BAISDEN
CHENEY, WA
NPI
1528654704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-12-11
Last Update Date
2021-05-11
Business Address
JESSA BAISDEN BS
526 5TH ST
CHENEY, WA 99004-1619
Phone number: 509-359-2427
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Mailing Address
JESSA BAISDEN BS
6405 N WALNUT ST
SPOKANE, WA 99217-9615
Phone number: 360-927-9958
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