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1003112384
ROBERT MITCHELL RICKSON
FAIRBANKS, AK
NPI
1003112384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
Mr. ROBERT MITCHELL RICKSON
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
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Mailing Address
Mr. ROBERT MITCHELL RICKSON
5540 OLD VALDEZ TRL
SALCHA, AK 99714-9302
Phone number: 907-699-8600
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