DEWAYNE GENE JIMMIE

FAIRBANKS, AK
NPI1215204664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-11-29
Last Update Date2011-11-29
Business Address
-- DEWAYNE GENE JIMMIE
122 1ST AVE SUITE 400
FAIRBANKS, AK 99701-4803
Phone number: 907-452-8251
Mailing Address
-- DEWAYNE GENE JIMMIE
122 1ST AVE SUITE 400
FAIRBANKS, AK 99701-4803
Phone number: 907-452-8251
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