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1164107462
JESSICA L FUGATT
WINSLOW, AZ
NPI
1164107462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 295511)
Enumeration Date
2023-06-15
Last Update Date
2023-12-27
Business Address
JESSICA L FUGATT FNP-C
200 LEE ST
WINSLOW, AZ 86047-2603
Phone number: 928-289-3396
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Mailing Address
JESSICA L FUGATT FNP-C
200 LEE ST
WINSLOW, AZ 86047-2603
Phone number: 928-289-3396
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