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1851011019
JAMILYN MARIE FASTH
NAMPA, ID
NPI
1851011019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-7221)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
JAMILYN MARIE FASTH PT, DPT
4424 E FLAMINGO AVE STE 120
NAMPA, ID 83687-9291
Phone number: 208-205-0450
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Mailing Address
JAMILYN MARIE FASTH PT, DPT
3369 S HOLDEN AVE
BOISE, ID 83706-5395
Phone number: 208-559-4791
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