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1447510524
JACK P FRY
NORTH POLE, AK
NPI
1447510524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 2428)
Enumeration Date
2012-05-22
Last Update Date
2012-05-22
Business Address
Mr. JACK P FRY DPT
157 LEWIS ST
NORTH POLE, AK 99705-7699
Phone number: 907-488-4978
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Mailing Address
Mr. JACK P FRY DPT
113 MOUNTAIN VILLAGE DR APT D
EVANSTON, WY 82930-2157
Phone number: 435-230-4307
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