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1487064838
MALCOLM JEWELL
FORT DEFIANCE, AZ
NPI
1487064838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM pa2015-0026)
Enumeration Date
2014-05-06
Last Update Date
2022-05-27
Business Address
MALCOLM JEWELL PA-C
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
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Mailing Address
MALCOLM JEWELL PA-C
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number:
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