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1982347159
DEAN GUSTAFSON
FAIRBANKS, AK
NPI
1982347159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
DEAN GUSTAFSON
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
DEAN GUSTAFSON
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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