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Individual

MRS. JAIYEOLA A. ASHAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 465-6940
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8683
ID

Other

Enumeration date
11/01/2006
Last updated
09/17/2012
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