DEAN GUSTAFSON

FAIRBANKS, AK
NPI1982347159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-04-15
Last Update Date2022-04-15
Business Address
DEAN GUSTAFSON
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
DEAN GUSTAFSON
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890