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1710386065
LEIF VICK
FAIRBANKS, AK
NPI
1710386065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AK 883)
Enumeration Date
2014-08-21
Last Update Date
2014-08-21
Business Address
MR. LEIF VICK LPC
315 5TH AVE
FAIRBANKS, AK 99701-5025
Phone number: 907-374-7776
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Mailing Address
MR. LEIF VICK LPC
PO BOX 83046
FAIRBANKS, AK 99708-3046
Phone number: 907-374-7776
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