CORNELIUS LEE MINGO

FAIRBANKS, AK
NPI1134711708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-05
Last Update Date2021-02-05
Business Address
CORNELIUS LEE MINGO
542 4TH AVE STE B101
FAIRBANKS, AK 99701-4707
Phone number: 907-374-1097
Mailing Address
CORNELIUS LEE MINGO
PO BOX 73004
FAIRBANKS, AK 99707-3004
Phone number:
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