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1659900942
JASON KIM
FAIRBANKS, AK
NPI
1659900942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2020-04-07
Last Update Date
2021-03-04
Business Address
JASON KIM
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
JASON KIM
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Copy
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