Organization
COORDINATION CENTRE FAIRBANKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PLEASANTS (OWNER)
(907) 699-4335
Entity
Organization
Contact information
Practice address
1422 HAMPSTEAD AVE, FAIRBANKS, AK 99701-2729
(907) 457-1158
Mailing address
1422 HAMPSTEAD AVE, FAIRBANKS, AK 99701-2729
(907) 457-1158
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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