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1154916914
KELLY MELLARD
FAIRBANKS, AK
NPI
1154916914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
KELLY MELLARD MA
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
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Mailing Address
KELLY MELLARD MA
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
Copy
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