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1639739956
GEORGE DENALI PURVIS
FAIRBANKS, AK
NPI
1639739956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 4340)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
GEORGE DENALI PURVIS
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
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Mailing Address
GEORGE DENALI PURVIS
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
Copy
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