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1063537744
JENNIE ELLEN
TUCSON, AZ
NPI
1063537744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AZ 28560)
Enumeration Date
2007-03-20
Last Update Date
2019-10-04
Business Address
JENNIE ELLEN M.D.
4600 S PARK AVE
TUCSON, AZ 85714-1697
Phone number: 520-889-9574
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Mailing Address
JENNIE ELLEN M.D.
8601 S 6TH AVENUE
TUCSON, AZ 85723-0001
Phone number: 520-792-1450
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