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1265845531
KARISSA CARROLL
FAIRBANKS, AK
NPI
1265845531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
-- KARISSA CARROLL
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
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Mailing Address
-- KARISSA CARROLL
PO BOX 94429
SEATTLE, WA 98124-6729
Phone number: 907-452-8251
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