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1609428317
JORDAN DANIELS
FAIRBANKS, AK
NPI
1609428317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
JORDAN DANIELS
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-6251
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Mailing Address
JORDAN DANIELS
2315 ONYX RD
NORTH POLE, AK 99705-6210
Phone number:
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