ANDREW ANTHONY LARA

FAIRBANKS, AK
NPI1073130720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-06-29
Last Update Date2020-06-29
Business Address
ANDREW ANTHONY LARA
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-488-0890
Mailing Address
ANDREW ANTHONY LARA
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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