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Individual

MR. WALTER WARNER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1081 AURORA DR, FAIRBANKS, AK 99709-5508
(907) 457-7759
(907) 457-7481
Mailing address
1081 AURORA DR, FAIRBANKS, AK 99709-5508
(907) 457-7759
(907) 457-7481

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
293586
AK
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/03/2015
Last updated
01/18/2023
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