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1023209616
LARRY MOEN
FAIRBANKS, AK
NPI
1023209616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
-- LARRY MOEN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1421
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Mailing Address
-- LARRY MOEN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1421
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