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1073846176
JAMIE JENNETTE CORACIDES
SCOTTSDALE, AZ
NPI
1073846176
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Former Name
JAMIE JENNETTE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 4462)
Enumeration Date
2009-09-08
Last Update Date
2021-06-07
Business Address
JAMIE JENNETTE CORACIDES PA
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5452
Phone number: 480-301-8000
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Mailing Address
JAMIE JENNETTE CORACIDES PA
2008 E LAGUNA DR
TEMPE, AZ 85282-5915
Phone number: 480-307-3497
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