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1376372904
BRANDY JEAN ELLS
FAIRBANKS, AK
NPI
1376372904
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
BRANDY JEAN ELLS MA
315 WENDELL AVE
FAIRBANKS, AK 99701-4837
Phone number: 907-450-3400
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Mailing Address
BRANDY JEAN ELLS MA
PO BOX 56413
NORTH POLE, AK 99705-1413
Phone number: 907-687-0451
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