Individual
MR. JAMIE DEWAYNE NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1717 WEST COWLES, FAIRBANKS, AK 99701-5903
(907) 451-6682
Mailing address
1774 KENDALL AVE, NORTH POLE, AK 99705-5414
(907) 388-0536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5693
AK
Other
Enumeration date
11/12/2007
Last updated
12/05/2012
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