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1083618334
ALYCE LYNNE WECKWERTH
FAIRBANKS, AK
NPI
1083618334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AK 493)
Enumeration Date
2005-06-01
Last Update Date
2007-07-08
Business Address
ALYCE LYNNE WECKWERTH ANP
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-6251
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Mailing Address
ALYCE LYNNE WECKWERTH ANP
683 STEELE CREEK RD
FAIRBANKS, AK 99712-2702
Phone number: 907-457-4475
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