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1114998473
JAYNE S FORTSON, MD
ANCHORAGE, AK
NPI
1114998473
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Entity Type
Organization
Authorized Contact
JAYNE S FORTSON
Owner
907-563-3204
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AK aa2600)
Enumeration Date
2006-01-26
Last Update Date
2013-03-15
Business Address
JAYNE S FORTSON, MD
2401 E 42ND AVE STE 301
ANCHORAGE, AK 99508-5205
Phone number: 907-563-3204
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Mailing Address
JAYNE S FORTSON, MD
2401 E 42ND AVE STE 301
ANCHORAGE, AK 99508-5205
Phone number: 907-563-3204
Copy
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