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1750958617
FREDERICK VANCE KLEIN
JUNEAU, AK
NPI
1750958617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
Mr. FREDERICK VANCE KLEIN
5594 AISEK ST.
JUNEAU, AK 99801
Phone number: 907-780-3048
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Mailing Address
Mr. FREDERICK VANCE KLEIN
5597 AISEK ST
JUNEAU, AK 99801-9522
Phone number: 907-780-3044
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