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Individual

MR. DEVON E PINKERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
122 1ST AVE SUITE 201, FAIRBANKS, AK 99701-4803
(907) 452-6434
(907) 451-6598
Mailing address
122 1ST AVE STE 201, FAIRBANKS, AK 99701-4871
(907) 452-6434
(907) 451-6598

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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