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1508449513
JESSICA STOCUM
FAIRBANKS, AK
NPI
1508449513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
JESSICA STOCUM
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
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Mailing Address
JESSICA STOCUM
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
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