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1629613906
JAMIE BLALOCK
FAIRBANKS, AK
NPI
1629613906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-11
Last Update Date
2019-11-11
Business Address
JAMIE BLALOCK
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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Mailing Address
JAMIE BLALOCK
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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