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1205127313
SUSAN CELESTE UPDEGRAFF
FAIRBANKS, AK
NPI
1205127313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AK 16)
Enumeration Date
2011-04-22
Last Update Date
2011-04-22
Business Address
Ms. SUSAN CELESTE UPDEGRAFF SLPA
1327 KALAKAKET ST
FAIRBANKS, AK 99709-4917
Phone number: 907-452-4517
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Mailing Address
Ms. SUSAN CELESTE UPDEGRAFF SLPA
2150 S BAY VIEW DR
WASILLA, AK 99654-8522
Phone number: 907-355-4757
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