JAYDENN MANIBUSAN

FAIRBANKS, AK
NPI1942070123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-01-08
Last Update Date2024-01-08
Business Address
JAYDENN MANIBUSAN
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
Mailing Address
JAYDENN MANIBUSAN
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
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