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1013284017
ERIK EDENSHAW
FAIRBANKS, AK
NPI
1013284017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-11-19
Last Update Date
2022-03-22
Business Address
ERIK EDENSHAW
615 BIDWILL AVE STE 103
FAIRBANKS, AK 99701-7587
Phone number: 907-452-1648
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Mailing Address
ERIK EDENSHAW
425 MCKINLEY VIEW DR
FAIRBANKS, AK 99712-1329
Phone number: 907-306-6186
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