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1205320777
JESSICA L BALCOM
PAYSON, AZ
NPI
1205320777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP11809)
Enumeration Date
2018-06-19
Last Update Date
2018-09-24
Business Address
JESSICA L BALCOM FNP-C
807 S PONDEROSA ST
PAYSON, AZ 85541-5542
Phone number: 928-471-3222
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Mailing Address
JESSICA L BALCOM FNP-C
52423 N AZ HWY 188
PAYSON, AZ 85541
Phone number:
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