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1568003143
LEEVERNE TRIMEL SMITH
FAIRBANKS, AK
NPI
1568003143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
Mr. LEEVERNE TRIMEL SMITH
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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Mailing Address
Mr. LEEVERNE TRIMEL SMITH
1506 28TH AVE
FAIRBANKS, AK 99701-6732
Phone number: 907-378-9917
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