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1073081287
TANANA VALLEY CLINIC LLC
FAIRBANKS, AK
NPI
1073081287
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Entity Type
Organization
Authorized Contact
STEPHEN PAUL LESLIE
CFO
907-458-3310
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
TANANA VALLEY CLINIC LLC
1405 KELLUM ST
FAIRBANKS, AK 99701-4189
Phone number: 907-459-3500
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Mailing Address
TANANA VALLEY CLINIC LLC
PO BOX 73720
FAIRBANKS, AK 99707-3720
Phone number: 907-459-3500
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