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1528405602
KAYLEIGH DAVIS DEFOORE
FAIRBANKS, AK
NPI
1528405602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-04256)
Enumeration Date
2013-05-29
Last Update Date
2021-04-15
Business Address
Ms. KAYLEIGH DAVIS DEFOORE PA
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
Ms. KAYLEIGH DAVIS DEFOORE PA
PO BOX 94429
SEATTLE, WA 98124-6729
Phone number: 907-451-6682
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