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1053661132
JACKIE RUTIGLAN
FAIRBANKS, AK
NPI
1053661132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- JACKIE RUTIGLAN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
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Mailing Address
-- JACKIE RUTIGLAN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number:
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