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1790996015
DARLA K HOLMES
FAIRBANKS, AK
NPI
1790996015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 3138)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
-- DARLA K HOLMES
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-6251
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Mailing Address
-- DARLA K HOLMES
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-6251
Copy
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