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1013422286
EDWARD IRISH
FAIRBANKS, AK
NPI
1013422286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
EDWARD IRISH RBT
3568 GERAGHTY AVE
FAIRBANKS, AK 99709-4701
Phone number: 907-374-7001
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Mailing Address
EDWARD IRISH RBT
3568 GERAGHTY AVE
FAIRBANKS, AK 99709-4701
Phone number: 907-374-7001
Copy
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