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1457019903
KATHLEEN DIANE MOORE
FAIRBANKS, AK
NPI
1457019903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
Ms. KATHLEEN DIANE MOORE
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
Ms. KATHLEEN DIANE MOORE
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Copy
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