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1184065013
LOA CARROLL
FAIRBANKS, AK
NPI
1184065013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- LOA CARROLL
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
-- LOA CARROLL
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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