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1144591330
LARRY CHALCRAFT
FAIRBANKS, AK
NPI
1144591330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
Mr. LARRY CHALCRAFT
1825 MARIKA
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
Mr. LARRY CHALCRAFT
1825 MARIKA
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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