Individual
MICKY RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
122 1ST AVE STE 106, FAIRBANKS, AK 99701-4871
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR37652
AK
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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