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1366757106
CAROLYN M COOPER
FAIRBANKS, AK
NPI
1366757106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-08-17
Last Update Date
2022-06-10
Business Address
CAROLYN M COOPER BA
926 ASPEN ST
FAIRBANKS, AK 99709-5501
Phone number: 907-371-1300
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Mailing Address
CAROLYN M COOPER BA
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: 907-563-1000
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