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1194793414
RONALD A MARTINO
FAIRBANKS, AK
NPI
1194793414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: AK 1695)
Enumeration Date
2006-03-11
Last Update Date
2010-08-30
Business Address
-- RONALD A MARTINO MD
1919 LATHROP ST STE 220
FAIRBANKS, AK 99701-5942
Phone number: 907-452-1739
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Mailing Address
-- RONALD A MARTINO MD
PO BOX 73410
FAIRBANKS, AK 99707-3410
Phone number: 800-478-4091
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