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1245708668
TANANA VALLEY CLINIC LLC
FAIRBANKS, AK
NPI
1245708668
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Entity Type
Organization
Authorized Contact
STEPHEN PAUL LESLIE
CFO
907-458-3310
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2018-11-03
Last Update Date
2018-11-03
Business Address
TANANA VALLEY CLINIC LLC
1919 LATHROP ST
FAIRBANKS, AK 99701-5937
Phone number: 907-459-3500
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Mailing Address
TANANA VALLEY CLINIC LLC
PO BOX 73720
FAIRBANKS, AK 99707-3720
Phone number: 190-745-9350
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