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Individual

MACY JEPSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
4602 E SENECA ST, TUCSON, AZ 85712-3272
(208) 241-0558
Mailing address
4602 E SENECA ST, TUCSON, AZ 85712-3272
(208) 241-0558

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/23/2022
Last updated
07/18/2022
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