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1427631977
CHARLA KOUADIO
FAIRBANKS, AK
NPI
1427631977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
CHARLA KOUADIO
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-456-1648
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Mailing Address
CHARLA KOUADIO
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-456-1648
Copy
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