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1760161996
LYDIA MINK
FAIRBANKS, AK
NPI
1760161996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
LYDIA MINK
215 CUSHMAN ST
FAIRBANKS, AK 99701-4639
Phone number: 907-374-1097
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Mailing Address
LYDIA MINK
215 CUSHMAN ST
FAIRBANKS, AK 99701-4639
Phone number: 907-374-1097
Copy
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