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Organization

KIMBERLY J. SARGENT PA-C, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY JO SARGENT PA-C (OWNER)
(928) 856-2208
Entity
Organization

Contact information

Practice address
711 W ASPEN AVE, FLAGSTAFF, AZ 86001-5301
(928) 856-2208
Mailing address
711 W ASPEN AVE, FLAGSTAFF, AZ 86001-5301
(928) 856-2208

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
#2555
AZ

Other

Enumeration date
05/04/2016
Last updated
05/04/2016
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