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1467004663
HEATHER MN JORDAN
FAIRBANKS, AK
NPI
1467004663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
MS. HEATHER MN JORDAN BA
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-1648
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Mailing Address
MS. HEATHER MN JORDAN BA
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-1648
Copy
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