RUSTY HAM

FAIRBANKS, AK
NPI1750575445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2007-09-05
Last Update Date2007-09-05
Business Address
-- RUSTY HAM
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1421
Mailing Address
-- RUSTY HAM
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1421
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