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Individual

JESSICA PRYOR JAMESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5002 E CENTRAL AVE STE B, WICHITA, KS 67208-4167
(316) 691-8885
(316) 691-8866
Mailing address
2604 E CASEY DR, GODDARD, KS 67052-8591
(620) 687-0202

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03096
KS

Other

Enumeration date
11/20/2017
Last updated
11/20/2017
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