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1194097212
CLARENCE ALLAN PATE
FAIRBANKS, AK
NPI
1194097212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-06
Last Update Date
2012-02-20
Business Address
Mr. CLARENCE ALLAN PATE
110 2ND AVE
FAIRBANKS, AK 99701-4809
Phone number: 907-452-7946
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Mailing Address
Mr. CLARENCE ALLAN PATE
5173 PALO VERDE AVE
FAIRBANKS, AK 99709-3130
Phone number: 907-378-8161
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