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1275740532
LUKE TITUS
FAIRBANKS, AK
NPI
1275740532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK DA4380)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- LUKE TITUS
122 FIRST AVENUE SUITE 600
FAIRBANKS, AK 99701
Phone number: 907-452-8251
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Mailing Address
-- LUKE TITUS
122 FIRST AVENUE SUITE 600
MINTO, AK 99701
Phone number: 907-452-8251
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