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1043942691
LIISIA RAE EDWARDSEN
FAIRBANKS, AK
NPI
1043942691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
LIISIA RAE EDWARDSEN CHAIII
122 1ST AVE STE 106
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
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Mailing Address
LIISIA RAE EDWARDSEN CHAIII
122 1ST AVE STE 106
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
Copy
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