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1063971687
DIANE LEWIS
FAIRBANKS, AK
NPI
1063971687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AK 114315)
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
DIANE LEWIS RN
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
DIANE LEWIS RN
122 1ST AVE STE 106
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
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