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1972780807
NICOLE RENEE JORGENSON
PHOENIX, AZ
NPI
1972780807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 3806)
Enumeration Date
2008-01-22
Last Update Date
2023-03-07
Business Address
Miss NICOLE RENEE JORGENSON PA-C
5133 N CENTRAL AVE STE 206
PHOENIX, AZ 85012-1438
Phone number: 602-264-0608
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Mailing Address
Miss NICOLE RENEE JORGENSON PA-C
PO BOX 910221
DALLAS, TX 75391-0221
Phone number: 520-519-7700
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