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1427618768
FREDRICK HOLMBERG
FAIRBANKS, AK
NPI
1427618768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 4485)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
FREDRICK HOLMBERG
1729 UNIVERSITY AVE S APT E40
FAIRBANKS, AK 99709-4976
Phone number: 907-888-2970
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Mailing Address
FREDRICK HOLMBERG
1729 UNIVERSITY AVE S APT E40
FAIRBANKS, AK 99709-4976
Phone number: 907-888-2970
Copy
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