MICHAEL J MAVENCAMP

FAIRBANKS, AK
NPI1760541676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AK  A240)
Enumeration Date2006-12-06
Last Update Date2012-08-28
Business Address
DR. MICHAEL J MAVENCAMP OD
570 RIVERSTONE WAY STE 3
FAIRBANKS, AK 99709
Phone number: 907-479-4700
Mailing Address
DR. MICHAEL J MAVENCAMP OD
570 RIVERSTONE WAY STE 3
FAIRBANKS, AK 99709
Phone number: 907-479-4700
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