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1245821669
JERRICA PARK
FLAGSTAFF, AZ
NPI
1245821669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9452)
Enumeration Date
2021-01-28
Last Update Date
2024-12-09
Business Address
JERRICA PARK PA-C
1120 W UNIVERSITY AVE STE 101
FLAGSTAFF, AZ 86001-2851
Phone number: 928-522-1300
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Mailing Address
JERRICA PARK PA-C
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-522-9879
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