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1356699516
DUSTIN DONOFRY
FAIRBANKS, AK
NPI
1356699516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8005936-2401)
Enumeration Date
2012-08-20
Last Update Date
2019-04-05
Business Address
DUSTIN DONOFRY
565 UNIVERSITY AVE STE 1
FAIRBANKS, AK 99709-3687
Phone number: 907-361-5603
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Mailing Address
DUSTIN DONOFRY
565 UNIVERSITY AVE STE 1
FAIRBANKS, AK 99709-3687
Phone number: 907-328-0820
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