JASON DOUGLAS GILLAM

FAIRBANKS, AK
NPI1740571595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AK  1531)
Enumeration Date2011-04-28
Last Update Date2011-04-28
Business Address
-- JASON DOUGLAS GILLAM MPT
2310 PEGER RD SUITE 101
FAIRBANKS, AK 99709-5315
Phone number: 907-457-7678
Mailing Address
-- JASON DOUGLAS GILLAM MPT
2310 PEGER RD SUITE 101
FAIRBANKS, AK 99709-5315
Phone number: 907-457-7678
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