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1124613716
KENNETH GILLESPIE
FAIRBANKS, AK
NPI
1124613716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-04
Last Update Date
2021-03-04
Business Address
KENNETH GILLESPIE Ph.D, MS
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
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Mailing Address
KENNETH GILLESPIE Ph.D, MS
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
Copy
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