Provider First Line Business Practice Location Address:
1650 COWLES STREET
Provider Second Line Business Practice Location Address:
FMH REHAB DEPARTMENT
Provider Business Practice Location Address City Name:
FAIRBANKS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-458-5670
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2006