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1760066161
VALENTIN FONOV
WASILLA, AK
NPI
1760066161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
VALENTIN FONOV
681 E KOYUK CIR
WASILLA, AK 99654-8511
Phone number: 907-795-0258
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Mailing Address
VALENTIN FONOV
10880 MAUSEL ST
EAGLE RIVER, AK 99577-8019
Phone number: 907-622-7000
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