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1457466823
THERESA JOANNE SHANLEY
FAIRBANKS, AK
NPI
1457466823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AK 5533)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- THERESA JOANNE SHANLEY M.D.
1650 COWLES ST
FAIRBANKS, AK 99701-5925
Phone number: 907-458-5660
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Mailing Address
-- THERESA JOANNE SHANLEY M.D.
PO BOX 70378
FAIRBANKS, AK 99707-0378
Phone number: 907-456-2784
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