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1053003228
MALCOLM JOHN FADDEN
SOLDOTNA, AK
NPI
1053003228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: AK 1712359)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
MALCOLM JOHN FADDEN
44661 STERLING HWY STE A
SOLDOTNA, AK 99669-7900
Phone number: 907-929-5826
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Mailing Address
MALCOLM JOHN FADDEN
44661 STERLING HWY STE A
SOLDOTNA, AK 99669-7900
Phone number: 907-929-5826
Copy
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