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1235358680
JENNIFER ATTLA
FAIRBANKS, AK
NPI
1235358680
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Former Name
JENNIFER CAPTAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- JENNIFER ATTLA
1408 19TH AVE RM 359
FAIRBANKS, AK 99701-5903
Phone number: 907-459-3800
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Mailing Address
-- JENNIFER ATTLA
PO BOX 74814
FAIRBANKS, AK 99707-4814
Phone number: 907-457-4947
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