THERESA FAIRBANKS

CHEFORNAK, AK
NPI1598290017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- THERESA FAIRBANKS
101 PANRUK ROAD
CHEFORNAK, AK 99561
Phone number: 907-867-8919
Mailing Address
-- THERESA FAIRBANKS
101 PANRUK ROAD
CHEFORNAK, AK 99561
Phone number: 907-867-8919
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