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1366004574
JOSEPH SAMPLE
FAIRBANKS, AK
NPI
1366004574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
JOSEPH SAMPLE
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-371-3925
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Mailing Address
JOSEPH SAMPLE
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-371-3925
Copy
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