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Individual

JENNIFER POWERS SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-5695
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-5695

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA1894
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86080015085259D003
TRIWEST
AZ
05
934184
AZ
01
P00218484
RAILROAD MEDICARE
AZ
Enumeration date
12/02/2005
Last updated
07/02/2008
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