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Individual

MR. JACK P FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
157 LEWIS ST, NORTH POLE, AK 99705-7699
(907) 488-4978
(907) 488-4976
Mailing address
113 MOUNTAIN VILLAGE DR APT D, EVANSTON, WY 82930-2157
(435) 230-4307

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2428
AK

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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