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Individual

ASHLEY SAWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
MP 1314 ALASKA HIGHWAY, TOK, AK 99780
(907) 883-0207
(866) 244-5691
Mailing address
PO BOX 635, TOK, AK 99780-0635
(907) 883-0207
(866) 244-5691

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1575944
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1575944
AK
Enumeration date
02/10/2014
Last updated
02/10/2014
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