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1659079010
ROGER LOGAN ESTELLE
FAIRBANKS, AK
NPI
1659079010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 200560)
Enumeration Date
2023-02-15
Last Update Date
2023-02-27
Business Address
ROGER LOGAN ESTELLE PA-C
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
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Mailing Address
ROGER LOGAN ESTELLE PA-C
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
Copy
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