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1417401183
SHANA EDWIN
FAIRBANKS, AK
NPI
1417401183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: AK 15115)
Enumeration Date
2016-08-10
Last Update Date
2020-02-06
Business Address
SHANA EDWIN RN
650 YOUNKER CT
FAIRBANKS, AK 99701-7586
Phone number: 907-456-1053
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Mailing Address
SHANA EDWIN RN
650 YOUNKER CT
FAIRBANKS, AK 99701-7586
Phone number: 907-456-1053
Copy
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