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1518622018
MICHAEL IAN KORTNESS
FAIRBANKS, AK
NPI
1518622018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
MICHAEL IAN KORTNESS
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
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Mailing Address
MICHAEL IAN KORTNESS
540 10TH AVE # B
FAIRBANKS, AK 99701-4903
Phone number: 907-750-9837
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