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1306251004
JESSICA ELLIS
PHOENIX, AZ
NPI
1306251004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5722)
Enumeration Date
2014-06-23
Last Update Date
2019-06-30
Business Address
JESSICA ELLIS PA
5102 W CAMPBELL AVE
PHOENIX, AZ 85031-1703
Phone number: 602-344-5111
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Mailing Address
JESSICA ELLIS PA
11956 W CHASE LN
AVONDALE, AZ 85323-7709
Phone number:
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