Individual
JAMES OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(907) 452-3600
Mailing address
309 DUNBAR AVE, FAIRBANKS, AK 99701-3662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99763
AK
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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