NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1184791204 | JEON | NAM | WOOK |   | 3550 AIRPORT WAY STE 4 | FAIRBANKS | AK | 997094772 |
1952604662 | MAYO | MONIQUE |   |   | 3550 AIRPORT WAY STE 4 | FAIRBANKS | AK | 997094772 |
1265545651 | WILLIAMSON | AMY | A |   | 3550 AIRPORT WAY STE 4 | FAIRBANKS | AK | 997094772 |