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1164898086
JONATHAN SQUIRES
FAIRBANKS, AK
NPI
1164898086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: AK MEDM852)
Enumeration Date
2015-08-14
Last Update Date
2015-08-14
Business Address
JONATHAN SQUIRES
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
JONATHAN SQUIRES
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
Copy
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