SALLIE JIM

PHOENIX, AZ
NPI1609962836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  1947)
Enumeration Date2006-10-05
Last Update Date2007-07-09
Business Address
-- SALLIE JIM PA-C
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- SALLIE JIM PA-C
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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