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1114224243
TANDALARIETTE K COLLEADO
FAIRBANKS, AK
NPI
1114224243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-02-25
Last Update Date
2011-02-25
Business Address
-- TANDALARIETTE K COLLEADO
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1407
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Mailing Address
-- TANDALARIETTE K COLLEADO
1308 GOLD RUSH DR
FAIRBANKS, AK 99709-3153
Phone number: 907-799-1072
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