Gavin Hage
Gavin Hage is a Community/Behavioral Health Agency in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701-7426
Phone: (907) 459-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1053952960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2019 |
| Last updated in NPPES | October 2, 2019 |
| Mailing address | 1825 Marika Rd, Fairbanks, AK 99709-5521 |
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