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1053669853
JOHNNA RENEE UNDERWOOD
FAIRBANKS, AK
NPI
1053669853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 613)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
Mrs. JOHNNA RENEE UNDERWOOD PT
459 FARMERS LOOP RD
FAIRBANKS, AK 99712-1406
Phone number: 907-550-0587
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Mailing Address
Mrs. JOHNNA RENEE UNDERWOOD PT
1600 COLLEGE RD
FAIRBANKS, AK 99709-4173
Phone number: 907-457-3711
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