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1053086736
AMANDA ELLIS
FAIRBANKS, AK
NPI
1053086736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-13
Last Update Date
2021-08-18
Business Address
AMANDA ELLIS
1902 CENTRAL AVE
FAIRBANKS, AK 99709-4223
Phone number: 907-398-7297
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Mailing Address
AMANDA ELLIS
PO BOX 80929
FAIRBANKS, AK 99708-0929
Phone number: 907-398-7297
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