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1124037478
JOHN P BAST
FAIRBANKS, AK
NPI
1124037478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AK 262180)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- JOHN P BAST D.D.S
570 UNIVERSITY AVE
FAIRBANKS, AK 99709-3641
Phone number: 907-479-2206
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Mailing Address
-- JOHN P BAST D.D.S
570 UNIVERSITY AVE
FAIRBANKS, AK 99709-3641
Phone number: 907-479-2206
Copy
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