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Individual

EDWARD FLYNN DEFOREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT

Contact information

Practice address
4315 DIPLOMACY DR, ATTN SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
4315 DIPLOMACY DR, ATTN SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary

Other

Enumeration date
12/07/2007
Last updated
12/07/2007
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