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1790416535
JIMMY JAIME
PHILADELPHIA, PA
NPI
1790416535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA063910)
Enumeration Date
2022-06-22
Last Update Date
2022-12-01
Business Address
JIMMY JAIME
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 19120-2470
Phone number: 215-456-7000
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Mailing Address
JIMMY JAIME
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 19120-2470
Phone number: 215-456-7000
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