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1063064103
CHRISTINE LYNNE JOHNSON
FAIRBANKS, AK
NPI
1063064103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 4026)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
CHRISTINE LYNNE JOHNSON CDC1
424 KETCHIKAN AVE
FAIRBANKS, AK 99701-3737
Phone number: 907-374-1822
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Mailing Address
CHRISTINE LYNNE JOHNSON CDC1
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-6251
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