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1649911462
TANYA L JACKSON
FAIRBANKS, AK
NPI
1649911462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
TANYA L JACKSON
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
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Mailing Address
TANYA L JACKSON
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
Copy
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