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Individual

JAMIE LEA TAYLOR BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11134 N STATE ROAD 77, HAYWARD, WI 54843-5325
(715) 634-5505
(715) 634-5558
Mailing address
105 4TH AVE, PO BOX 336, SHELL LAKE, WI 54871-0336
(715) 468-2711
(715) 468-2727

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1334
WI
363A00000X
Physician Assistant
Primary
1334-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41924600
WI
Enumeration date
08/30/2006
Last updated
03/17/2018
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