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1447079728
JUSTIN JOHNSON
FAIRBANKS, AK
NPI
1447079728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
JUSTIN JOHNSON
542 4TH AVE
FAIRBANKS, AK 99701-4707
Phone number: 907-799-9995
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Mailing Address
JUSTIN JOHNSON
PO BOX 73004
FAIRBANKS, AK 99707-3004
Phone number:
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