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1902176639
MARIO DURAN
FAIRBANKS, AK
NPI
1902176639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Mr. MARIO DURAN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
Mr. MARIO DURAN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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