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JACKIE FONUA, PA-C
PA-C
Family Medicine Physician
NPI: 1336227206IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
175335-1206(UT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1996
Contact & Hours
- Address
- 3354 W 7800 S
WEST JORDAN, UT 84088 - Phone
- (801) 282-2677
Quick Facts
- NPI
- 1336227206
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 30
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