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1245608975
WENCESLOUS FRU
ANCHORAGE, AK
NPI
1245608975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 114514)
Enumeration Date
2015-09-11
Last Update Date
2020-10-14
Business Address
WENCESLOUS FRU PA-C
3300 PROVIDENCE DR SUITE B314
ANCHORAGE, AK 99508-4690
Phone number: 907-212-3420
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Mailing Address
WENCESLOUS FRU PA-C
22301 W ALSOP RD
WASILLA, AK 99623-5023
Phone number: 907-538-2308
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