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1669088456
JACOB LAWRENCE
ANCHORAGE, AK
NPI
1669088456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
JACOB LAWRENCE
6401 A ST
ANCHORAGE, AK 99518-1824
Phone number: 907-222-2326
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Mailing Address
JACOB LAWRENCE
6401 A ST
ANCHORAGE, AK 99518-1824
Phone number: 907-222-2326
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