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Individual

MR. JAMES RAYMOND PASEK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
506 GAFFNEY STREET, STE 300, FAIRBANKS, AK 99701-4980
(907) 374-0992
Mailing address
157 LEWIS ST, NORTH POLE, AK 99705-7699
(907) 488-4978
(907) 488-4976

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1181
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PT7158
AK
Enumeration date
06/13/2006
Last updated
12/15/2016
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