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Individual

JIMMIE KAYE BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1606 ROOSEVELT ST, FAIRBANKS, AK 99709-5109
(907) 590-2070
Mailing address
PO BOX 73074, FAIRBANKS, AK 99707-3074
(907) 590-2070

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/19/2021
Last updated
12/19/2021
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