Individual
BENNIE COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
966 COPPET ST, FAIRBANKS, AK 99709-4717
(907) 460-6851
Mailing address
966 COPPET ST, FAIRBANKS, AK 99709-4717
(907) 460-6851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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