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Individual

JAMIE LYNN KOSTECKY CLAYPOOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1769 N MAIN STREET EXT, BUTLER, PA 16001-1327
(724) 287-5599
Mailing address
1769 N MAIN STREET EXT, BUTLER, PA 16001-1327
(724) 287-5599

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C0253288
PA

Other

Enumeration date
09/26/2022
Last updated
03/05/2024
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