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1912690355
IAN JOSEPH COSTELLO
FAIRBANKS, AK
NPI
1912690355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AK 204821)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
IAN JOSEPH COSTELLO
4001 GEIST RD
FAIRBANKS, AK 99709-3569
Phone number: 907-374-1981
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Mailing Address
IAN JOSEPH COSTELLO
4001 GEIST RD
FAIRBANKS, AK 99709-3569
Phone number: 907-374-1981
Copy
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