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1407104169
ALFRED STEVENS
FAIRBANKS, AK
NPI
1407104169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
ALFRED STEVENS BHA
122 1ST AVE SUITE 600
FAIRBANKS, AK 99701-4803
Phone number: 907-452-8251
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Mailing Address
ALFRED STEVENS BHA
1408 19TH AVE
FAIRBANKS, AK 99701-5903
Phone number: 907-451-6682
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