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1104890391
ALICE ANN MURAL
FAIRBANKS, AK
NPI
1104890391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AK AK277)
Enumeration Date
2006-02-14
Last Update Date
2012-02-08
Business Address
ALICE ANN MURAL ANP
1605 CARR AVE
FAIRBANKS, AK 99709-4204
Phone number: 907-455-4863
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Mailing Address
ALICE ANN MURAL ANP
1605 CARR AVE
FAIRBANKS, AK 99709-4204
Phone number: 907-455-4863
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