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Individual

MS. ELIZABETH MARIE DODDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1015 SMALLWOOD TRL, FAIRBANKS, AK 99712-3124
(907) 490-0330
Mailing address
1015 SMALLWOOD TRL, FAIRBANKS, AK 99712-3124
(907) 490-0330

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5394
AK

Other

Enumeration date
10/16/2009
Last updated
10/16/2009
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