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1760910616
BOBBY LASALLE
FAIRBANKS, AK
NPI
1760910616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: AK 44)
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
BOBBY LASALLE
1327 KALAKAKET ST
FAIRBANKS, AK 99709-4917
Phone number: 907-452-4517
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Mailing Address
BOBBY LASALLE
1327 KALAKAKET ST
FAIRBANKS, AK 99709-4917
Phone number: 907-452-4517
Copy
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