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1689263865
JACOB ALAN MYLER
IDAHO FALLS, ID
NPI
1689263865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2233)
Enumeration Date
2021-01-13
Last Update Date
2024-10-17
Business Address
JACOB ALAN MYLER PA-C
3345 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-522-7572
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Mailing Address
JACOB ALAN MYLER PA-C
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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