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1548944150
JASMINE M WALLIS
FAIRBANKS, AK
NPI
1548944150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
JASMINE M WALLIS
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
JASMINE M WALLIS
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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