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- NPI: 1487928784
- 1717 WEST COWLES STREET FAIRBANKS AK 99701 US
- 1 Years of Practice
- 000-000-0000
- email@email.com
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Overview
Detail overview about yourself goes here
Experience
ACGME Certified: Yes
Affiliated Hospital: JORDAN VALLEY MEDICAL CENTER
Affiliated Hospital Address
3580 WEST 9000 SOUTH
WEST JORDAN, UT, 84088
WEST JORDAN, UT, 84088
Practice Clinic Name:
Procedures Performed:
Patient Treated:
Insurance Plan Accepted: HMO
Insurance Carriers: 1199SEIU
PA/APN: PA: Medical |