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1306172069
KELLY SHANKLIN
FAIRBANKS, AK
NPI
1306172069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
MRS. KELLY SHANKLIN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1423
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Mailing Address
MRS. KELLY SHANKLIN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1423
Copy
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