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1437194990
TIMOTHY J FAGGIONATO
ANCHORAGE, AK
NPI
1437194990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: AK 444)
Enumeration Date
2006-06-18
Last Update Date
2007-10-22
Business Address
TIMOTHY J FAGGIONATO PA-C
3260 PROVIDENCE DR SUITE 200
ANCHORAGE, AK 99508-4615
Phone number: 907-563-3145
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Mailing Address
TIMOTHY J FAGGIONATO PA-C
3260 PROVIDENCE DR SUITE 200
ANCHORAGE, AK 99508-4615
Phone number: 907-563-3145
Copy
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