JOSEPH SAMPLE

FAIRBANKS, AK
NPI1366004574
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
JOSEPH SAMPLE
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-371-3925
Mailing Address
JOSEPH SAMPLE
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-371-3925