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Organization

WAARA FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LEE SLOCUM WAARA M.D. (CEO)
(928) 445-5339
Entity
Organization

Contact information

Practice address
1672 OAKLAWN DR, PRESCOTT, AZ 86305-1106
(928) 445-5339
(928) 445-3664
Mailing address
1672 OAKLAWN DR, PRESCOTT, AZ 86305-1106
(928) 445-5339
(928) 445-3664

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
36449
AZ

Other

Enumeration date
07/11/2007
Last updated
12/14/2011
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