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1679125603
JODY TATE
FAIRBANKS, AK
NPI
1679125603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: AK 18627)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
JODY TATE RN
650 YOUNKER CT
FAIRBANKS, AK 99701-7586
Phone number: 907-456-1053
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Mailing Address
JODY TATE RN
650 YOUNKER CT
FAIRBANKS, AK 99701-7586
Phone number:
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