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Individual

MS. PATRICIA ANN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
542 4TH AVE, SUITE 234, FAIRBANKS, AK 99701-4714
(907) 456-4524
(907) 456-5524
Mailing address
600 BARROW ST, SUITE 404, ANCHORAGE, AK 99501-3631
(907) 258-3498
(907) 279-0171

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CM1427
AK
Enumeration date
05/13/2008
Last updated
05/13/2008
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