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Individual

JEAN K MARSEILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9111 N 7TH ST, PHOENIX, AZ 85020-2515
(602) 255-7671
Mailing address
9111 N 7TH ST, PHOENIX, AZ 85020-2515
(602) 255-7671

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary
F10170411
AZ

Other

Enumeration date
10/09/2017
Last updated
05/05/2018
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