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1982361663
SETH WALTER WIETGREFE
FAIRBANKS, AK
NPI
1982361663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-11-17
Last Update Date
2022-01-14
Business Address
SETH WALTER WIETGREFE
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
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Mailing Address
SETH WALTER WIETGREFE
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-474-0890
Copy
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