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1972014900
FARTUN A JAMA
SAN LUIS, AZ
NPI
1972014900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 6792)
Enumeration Date
2017-10-17
Last Update Date
2019-02-14
Business Address
FARTUN A JAMA
815 E JUAN SANCHEZ BLVD
SAN LUIS, AZ 85349
Phone number: 928-627-3822
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Mailing Address
FARTUN A JAMA
2060 W 24TH ST
YUMA, AZ 85364-6123
Phone number: 928-819-8999
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