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1487121059
SUSAN ANNETTE MCLANE
FAIRBANKS, AK
NPI
1487121059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent
(Licence: AK NURR9654)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
SUSAN ANNETTE MCLANE
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4785
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Mailing Address
SUSAN ANNETTE MCLANE
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4785
Copy
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