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1689355794
MADALYN TICKNOR
FAIRBANKS, AK
NPI
1689355794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
MADALYN TICKNOR
1734 FALL RD
FAIRBANKS, AK 99709-6727
Phone number: 907-371-4977
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Mailing Address
MADALYN TICKNOR
PO BOX 84813
FAIRBANKS, AK 99708-4813
Phone number: 907-371-4977
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