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Individual

JASON FOSTER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
670 W FIREWEED LN, SUITE 160, ANCHORAGE, AK 99503-2562
(770) 841-9429
Mailing address
PO BOX 298845, WASILLA, AK 99629-8845
(770) 841-9429

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36643
AK

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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