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1124391289
JOSEPHINE LYNN GOOSHAW
FAIRBANKS, AK
NPI
1124391289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
-- JOSEPHINE LYNN GOOSHAW
110 2ND AVE
FAIRBANKS, AK 99701-4809
Phone number: 907-452-7946
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Mailing Address
-- JOSEPHINE LYNN GOOSHAW
1428 GILLAM WAY # 1
FAIRBANKS, AK 99701-6073
Phone number: 907-687-2781
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