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1427374248
KIM DERTINGER
FAIRBANKS, AK
NPI
1427374248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-04-19
Last Update Date
2010-04-19
Business Address
-- KIM DERTINGER
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
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Mailing Address
-- KIM DERTINGER
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
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