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1306023452
CAPSTONE FAMILY MEDICAL
WASILLA, AK
NPI
1306023452
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Entity Type
Organization
Authorized Contact
WADE ERICKSON
Medical Director
952-653-2528
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
CAPSTONE FAMILY MEDICAL
3223 E PALMER WASILLA HWY
WASILLA, AK 99654-7236
Phone number: 952-653-2528
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Mailing Address
CAPSTONE FAMILY MEDICAL
6501 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3248
Phone number:
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CAPSTONE FAMILY MEDICINE LLC