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1649714650
JAY D FORD
CASA GRANDE, AZ
NPI
1649714650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP9576)
Enumeration Date
2016-12-09
Last Update Date
2017-08-08
Business Address
-- JAY D FORD FNP
865 N ARIZOLA RD
CASA GRANDE, AZ 85122-6011
Phone number: 520-836-3446
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Mailing Address
-- JAY D FORD FNP
PO BOX 10097
CASA GRANDE, AZ 85122
Phone number: 520-836-3446
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