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1700308871
JESSICA ELLEN FERTIG
SANTA FE, NM
NPI
1700308871
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Former Name
JESSICA ELLEN WOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-07-11
Last Update Date
2021-04-22
Business Address
JESSICA ELLEN FERTIG PA-C
2019 GALISTEO ST STE N9B
SANTA FE, NM 87505-2111
Phone number: 505-986-9688
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Mailing Address
JESSICA ELLEN FERTIG PA-C
2019 GALISTEO ST STE N9B
SANTA FE, NM 87505-2111
Phone number: 505-986-9688
Copy
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