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1134638406
NATALIE TANNER
FAIRBANKS, AK
NPI
1134638406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-29
Last Update Date
2018-02-15
Business Address
NATALIE TANNER CDC
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
NATALIE TANNER CDC
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
Copy
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