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1811246655
ALICIA WALLEN
FAIRBANKS, AK
NPI
1811246655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-09-07
Last Update Date
2012-09-07
Business Address
-- ALICIA WALLEN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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Mailing Address
-- ALICIA WALLEN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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