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Individual

MADELINE JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6767 29TH ST FL 3, GREELEY, CO 80634-5474
(970) 652-2801
Mailing address
PO BOX 3306, BLUE JAY, CA 92317
(540) 632-6625

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54566
CA

Other

Enumeration date
10/14/2009
Last updated
08/11/2022
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