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1700156775
ANTHONY DAVID HAACK
FAIRBANKS, AK
NPI
1700156775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- ANTHONY DAVID HAACK
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
-- ANTHONY DAVID HAACK
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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