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1588008320
KIMBERLY WAGNER
FAIRBANKS, AK
NPI
1588008320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
-- KIMBERLY WAGNER B.S.
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-5254
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Mailing Address
-- KIMBERLY WAGNER B.S.
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number:
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