Individual
BENTLEY GAIGE GAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 17TH AVE APT 129, FAIRBANKS, AK 99701-6148
(480) 307-5262
Mailing address
825 17TH AVE APT 129, FAIRBANKS, AK 99701-6148
(480) 307-5262
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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