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1295389120
JARED MICHAEL ANDERSON
FAIRBANKS, AK
NPI
1295389120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
JARED MICHAEL ANDERSON
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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Mailing Address
JARED MICHAEL ANDERSON
2252 ARLENE DR
FAIRBANKS, AK 99705-7560
Phone number:
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