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1619388600
DENNIS LYNN MICKLESON
PALMER, AK
NPI
1619388600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: AK AA2638)
Enumeration Date
2014-05-13
Last Update Date
2014-05-13
Business Address
Dr. DENNIS LYNN MICKLESON M.D.
8220 GOLD BULLION BLVD
PALMER, AK 99645
Phone number: 907-745-0832
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Mailing Address
Dr. DENNIS LYNN MICKLESON M.D.
PO BOX 2863
PALMER, AK 99645-2863
Phone number: 907-745-0832
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