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1194820159
PRISCILLA STODDARD
FAIRBANKS, AK
NPI
1194820159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AK 124)
Enumeration Date
2006-09-14
Last Update Date
2007-10-04
Business Address
-- PRISCILLA STODDARD CRNA
1650 COWLES ST
FAIRBANKS, AK 99701-5925
Phone number: 800-945-9877
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Mailing Address
-- PRISCILLA STODDARD CRNA
1954 E FORT UNION BLVD #116
SALT LAKE CITY, UT 84121-6991
Phone number: 907-452-2700
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