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1033937115
CLINTON DEAVER
WASILLA, AK
NPI
1033937115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AK 229469)
Enumeration Date
2024-09-28
Last Update Date
2024-10-23
Business Address
Mr. CLINTON DEAVER FNP-BC
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
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Mailing Address
Mr. CLINTON DEAVER FNP-BC
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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