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1790468239
JAIDA ATTLA
FAIRBANKS, AK
NPI
1790468239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
JAIDA ATTLA
215 CUSHMAN ST
FAIRBANKS, AK 99701-4639
Phone number: 907-374-1097
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Mailing Address
JAIDA ATTLA
PO BOX 73004
FAIRBANKS, AK 99707-3004
Phone number: 907-374-1097
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