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1992076558
SIMEON FAIRBANKS
BETHEL, AK
NPI
1992076558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
-- SIMEON FAIRBANKS
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6160
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Mailing Address
-- SIMEON FAIRBANKS
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number:
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