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1679970768
SAMUEL DEBLAUW
FAIRBANKS, AK
NPI
1679970768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 1234)
Enumeration Date
2014-12-04
Last Update Date
2015-06-25
Business Address
Mr. SAMUEL DEBLAUW Physician Assistant
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
Mr. SAMUEL DEBLAUW Physician Assistant
1717 W COWLES ST CHIEF ANDREW ISAAC HEALTH CENTER
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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