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1114290350
MISTY ROSE KEITH
FAIRBANKS, AK
NPI
1114290350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
Ms. MISTY ROSE KEITH
110 2ND AVE
FAIRBANKS, AK 99701-4809
Phone number: 907-452-7946
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Mailing Address
Ms. MISTY ROSE KEITH
1116 27TH AVE APT 1
FAIRBANKS, AK 99701-5611
Phone number: 907-750-3546
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