Individual
MR. DONALD ESAU CHARLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDC II,BHA II
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701
(907) 459-3800
(907) 832-5477
Mailing address
PO BOX 253, NENANA, AK 99760-0253
(907) 832-5467
(907) 832-5477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1850
AK
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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