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1780367003
WYATT JOHNATHAN YURKOVICH
FAIRBANKS, AK
NPI
1780367003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-11
Last Update Date
2023-09-07
Business Address
WYATT JOHNATHAN YURKOVICH
1423 PEGER RD
FAIRBANKS, AK 99709-5169
Phone number: 907-371-1300
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Mailing Address
WYATT JOHNATHAN YURKOVICH
4020 FOLKER ST
ANCHORAGE, AK 99508-5386
Phone number: 907-563-1000
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