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1972026177
IDEAL OPTION, PLLC
FAIRBANKS, AK
NPI
1972026177
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Entity Type
Organization
Authorized Contact
BRIAN JEFFERSON DAWSON
Cmo
509-222-1275
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
Enumeration Date
2017-07-19
Last Update Date
2023-08-31
Business Address
IDEAL OPTION, PLLC
1221 NOBLE ST
FAIRBANKS, AK 99701-4961
Phone number: 877-522-1275
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Mailing Address
IDEAL OPTION, PLLC
8656 W GAGE BLVD SUITE 301B
KENNEWICK, WA 99336-7145
Phone number: 509-222-1275
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