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1104378702
JESSICA FAIN
SHOW LOW, AZ
NPI
1104378702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6507)
Enumeration Date
2016-10-29
Last Update Date
2016-10-29
Business Address
-- JESSICA FAIN PA-C
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-6371
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Mailing Address
-- JESSICA FAIN PA-C
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-6371
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