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Organization
WW ENTERPRISE, LLC
Active
Organization
WW ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JENSEN MD (OWNER)
(603) 738-2868
Entity
Organization
Contact information
Practice address
2485 CHIEF WILLIAM DR, FAIRBANKS, AK 99709-4873
(603) 738-2868
Mailing address
2485 CHIEF WILLIAM DR, FAIRBANKS, AK 99709-4873
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6676
AK
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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