CLARICE GRANDPRE MD LLC

FAIRBANKS, AK
NPI1598103095
Entity TypeOrganization
Authorized ContactCLARICE GRANDPRE
Owner
907-479-8101
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  2983)
Enumeration Date2013-06-06
Last Update Date2014-06-03
Business Address
CLARICE GRANDPRE MD LLC
995 ELLESMERE DR
FAIRBANKS, AK 99709-5759
Phone number: 907-479-8101
Mailing Address
CLARICE GRANDPRE MD LLC
PO BOX 84945
FAIRBANKS, AK 99708-4945
Phone number: 907-479-8101
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