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1588651053
THOMAS MANFORD DALE
FAIRBANKS, AK
NPI
1588651053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AK 475)
Enumeration Date
2005-09-30
Last Update Date
2017-10-09
Business Address
THOMAS MANFORD DALE PA
1650 COWLES ST
FAIRBANKS, AK 99701-5925
Phone number: 907-458-5555
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Mailing Address
THOMAS MANFORD DALE PA
607 OLD STEESE HWY SUITE B PMB255
FAIRBANKS, AK 99701-3131
Phone number: 907-388-0748
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