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1336765114
KEVIN JOHNSON
FAIRBANKS, AK
NPI
1336765114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
KEVIN JOHNSON
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
KEVIN JOHNSON
501 LILY DR APT 2
FORT WAINWRIGHT, AK 99703-1503
Phone number:
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