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1912463084
SOPHIE SHIZUYO JESSOP
SHOW LOW, AZ
NPI
1912463084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7422)
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
SOPHIE SHIZUYO JESSOP PA-C
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-4375
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Mailing Address
SOPHIE SHIZUYO JESSOP PA-C
PO BOX 1787
SAINT JOHNS, AZ 85936-1787
Phone number: 928-243-6434
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