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1548513203
LISA J INGALLS
FAIRBANKS, AK
NPI
1548513203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
Ms. LISA J INGALLS
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
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Mailing Address
Ms. LISA J INGALLS
3830 S. CUSHMAN ST
FAIRBANKS, AK 99701
Phone number: 907-452-1575
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