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1588163950
MARVIN ROBERTS
FAIRBANKS, AK
NPI
1588163950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
Mr. MARVIN ROBERTS
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
Mr. MARVIN ROBERTS
PO BOX 94429
SEATTLE, WA 98124-6729
Phone number:
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