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Individual

DR. SARA GAYLE HORNBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
PO BOX 84888, FAIRBANKS, AK 99708-4888
(907) 322-6355

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3825
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD7694
AK
Enumeration date
07/07/2006
Last updated
05/12/2021
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