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1770541724
TONYA LACOLE FENDER
ANCHORAGE, AK
NPI
1770541724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AK 1239)
Enumeration Date
2006-05-01
Last Update Date
2015-12-21
Business Address
-- TONYA LACOLE FENDER NNP
3200 PROVIDENCE DR
ANCHORAGE, AK 99508-4615
Phone number: 907-212-5006
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Mailing Address
-- TONYA LACOLE FENDER NNP
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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