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1528460342
STEPHEN MICHAEL MOORE
FAIRBANKS, AK
NPI
1528460342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-09-24
Last Update Date
2015-04-06
Business Address
STEPHEN MICHAEL MOORE
805 AIRPORT WAY
FAIRBANKS, AK 99701
Phone number: 907-456-8901
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Mailing Address
STEPHEN MICHAEL MOORE
805 AIRPORT WAY C/O FRA
FAIRBANKS, AK 99701
Phone number: 907-456-8901
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