JASON CARLOS EDWIN-MATOS

FAIRBANKS, AK
NPI1407400807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
JASON CARLOS EDWIN-MATOS
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-459-4700
Mailing Address
JASON CARLOS EDWIN-MATOS
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number:
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