1598910937

Everything you always wanted to know about MRS. MCCOLLUM LEE JENNIFER MSPT but were afraid to ask.

MRS. MCCOLLUM LEE JENNIFER MSPT

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MRS. MCCOLLUM LEE JENNIFER MSPT
Gender:
Female
Enumeration date:
2008-11-26
Last update date:
2008-11-26
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
224L00000X Pedorthist ID PT-1935

Phone Numbers

Type Number
Mailing Address Telephone Number 2087372126
Practice Location Address Telephone Number 2087372126

Addresses

Type Address City State Postal Country
Mailing Address 560 SHOUP AVE W TWIN FALLS ID 83301 ID
Practice Location Address 560 SHOUP AVE W TWIN FALLS ID 83301 ID

Other NPI Records that share a phone number

NPI Name Address State City
1023261088 OSTYN, PAUL
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560 SHOUP AVE W ID TWIN FALLS
1053557165 SLIERS
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560 SHOUP AVE W ID TWIN FALLS
1073768842 JENNINGS, SKILA
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560 SHOUP AVE W ID TWIN FALLS
1114170644 CRIST, JOY
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560 SHOUP AVE W ID TWIN FALLS
1205071370 WRIGHT BOSTOCK, JOLENE
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560 SHOUP AVE W ID TWIN FALLS
1225281769 DECAMP, ROBERT
Individual
560 SHOUP AVE W ID TWIN FALLS
1275854739 COLE, MEAGAN
Individual
560 SHOUP AVE W ID TWIN FALLS
1356596977 CLARK, RAND
Individual
560 SHOUP AVE W ID TWIN FALLS
1518112119 BIGGINS, KRISTIN
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560 SHOUP AVE W ID TWIN FALLS
1649425653 GAREY, LEAH
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560 SHOUP AVE W ID TWIN FALLS
1780839431 KELLER, COREEN
Individual
560 SHOUP AVE W ID TWIN FALLS
1801041975 SILVESTER, LESLIE
Individual
560 SHOUP AVE W ID TWIN FALLS
1831428267 MCALLISTER, RYAN
Individual
560 SHOUP AVE W ID TWIN FALLS
1992934103 SPAETE, KARI
Individual
172 2ND ST S ID NAMPA

Other NPI Records that share an address

NPI Name Address State City
1023261088 OSTYN, PAUL
Individual
560 SHOUP AVE W ID TWIN FALLS
1053557165 SLIERS
Organization
560 SHOUP AVE W ID TWIN FALLS
1073766606 URRY, JASON
Individual
560 SHOUP AVE W ID TWIN FALLS
1073768842 JENNINGS, SKILA
Individual
560 SHOUP AVE W ID TWIN FALLS
1114170644 CRIST, JOY
Individual
560 SHOUP AVE W ID TWIN FALLS
1205071370 WRIGHT BOSTOCK, JOLENE
Individual
560 SHOUP AVE W ID TWIN FALLS
1225281769 DECAMP, ROBERT
Individual
560 SHOUP AVE W ID TWIN FALLS
1275854739 COLE, MEAGAN
Individual
560 SHOUP AVE W ID TWIN FALLS
1356596977 CLARK, RAND
Individual
560 SHOUP AVE W ID TWIN FALLS
1518112119 BIGGINS, KRISTIN
Individual
560 SHOUP AVE W ID TWIN FALLS
1649425653 GAREY, LEAH
Individual
560 SHOUP AVE W ID TWIN FALLS
1780839431 KELLER, COREEN
Individual
560 SHOUP AVE W ID TWIN FALLS
1801041975 SILVESTER, LESLIE
Individual
560 SHOUP AVE W ID TWIN FALLS
1831428267 MCALLISTER, RYAN
Individual
560 SHOUP AVE W ID TWIN FALLS