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1447801857
JOHN GERALD MAYO
FAIRBANKS, AK
NPI
1447801857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
JOHN GERALD MAYO
122 1ST AVE
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
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Mailing Address
JOHN GERALD MAYO
122 1ST AVE
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
Copy
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