ETHAN ALLEN

FAIRBANKS, AK
NPI1801481635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
ETHAN ALLEN
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
Mailing Address
ETHAN ALLEN
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
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