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1619420494
JESSICA HOLTROP BALIS
MISSOULA, MT
NPI
1619420494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT MED-PAC-LIC-60155)
Enumeration Date
2016-07-28
Last Update Date
2023-09-26
Business Address
JESSICA HOLTROP BALIS PA-S
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 406-329-5615
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Mailing Address
JESSICA HOLTROP BALIS PA-S
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 866-747-2455
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