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1508913799
JENNIFER SLOCUM WAARA
PRESCOTT, AZ
NPI
1508913799
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Former Name
JENNIFER LEE SLOCUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 36449)
Enumeration Date
2007-01-03
Last Update Date
2019-11-15
Business Address
JENNIFER SLOCUM WAARA
1090 COMMERCE DR
PRESCOTT, AZ 86305-3700
Phone number: 928-583-1000
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Mailing Address
JENNIFER SLOCUM WAARA
1090 COMMERCE DR
PRESCOTT, AZ 86305-3700
Phone number: 928-583-1000
Copy
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