JACK ERNEST HENDRICKSON

FT WAINWRIGHT, AK
NPI1134191455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  4735)
Enumeration Date2006-02-02
Last Update Date2007-07-08
Business Address
Mr. JACK ERNEST HENDRICKSON LPN
1060 GAFFNEY RD COMMANDER, USA-MEDDAC-AK, ATTN; MCUC-MMD-QM
FT WAINWRIGHT, AK 99703-5001
Phone number: 907-353-1207
Mailing Address
Mr. JACK ERNEST HENDRICKSON LPN
2005 JACK ST
FAIRBANKS, AK 99709-4113
Phone number: 907-451-9414
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