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Individual

MS. JENNIFER SUSAN BRACAMONTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-3300
(907) 729-5180

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD61271571
WA
2080P0205X
Pediatric Endocrinology Physician
Primary
219654
AK

Other

Enumeration date
04/04/2016
Last updated
09/10/2025
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