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1356611081
CORY GOODMAN
FAIRBANKS, AK
NPI
1356611081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Ms. CORY GOODMAN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
Ms. CORY GOODMAN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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