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Individual

JACLYN BEAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8880 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-6746
(480) 204-0380
Mailing address
PO BOX 60691, CITY OF INDUSTRY, CA 91716-0691

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
316899
AZ

Other

Enumeration date
01/17/2025
Last updated
07/16/2025
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