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1588207401
KATINA BETH SAMMONS
FAIRBANKS, AK
NPI
1588207401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
KATINA BETH SAMMONS
1027 EVERGREEN ST
FAIRBANKS, AK 99709-4306
Phone number: 907-451-8164
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Mailing Address
KATINA BETH SAMMONS
315 WENDELL AVE
FAIRBANKS, AK 99701-4837
Phone number:
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