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Individual

HELEN ELIZABETH GAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1919 LATHROP ST, FAIRBANKS, AK 99701-5937
(907) 459-3570
(907) 459-3510
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(919) 448-6472

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13639
NC
363A00000X
Physician Assistant
Primary
228691
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1752862
AK
Enumeration date
10/04/2023
Last updated
06/10/2025
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