Provider First Line Business Practice Location Address:
11120 GLACIER HWY
Provider Second Line Business Practice Location Address:
STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
JUNEAU
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99801-8625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-796-6260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2007