JAIMIE ERICKSON

MOSCOW, ID
NPI1861057622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-5020)
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
JAIMIE ERICKSON
1215 E 6TH ST
MOSCOW, ID 83843-3705
Phone number: 208-610-5103
Mailing Address
JAIMIE ERICKSON
2056 W 12015 S
RIVERTON, UT 84065-7518
Phone number: 208-610-5103
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