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1811474398
GILES ANDREW HAWTHORN
FAIRBANKS, AK
NPI
1811474398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-07-26
Last Update Date
2022-10-18
Business Address
GILES ANDREW HAWTHORN B.S., B.S.W.
1423 PEGER RD
FAIRBANKS, AK 99709-5169
Phone number: 907-371-1300
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Mailing Address
GILES ANDREW HAWTHORN B.S., B.S.W.
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: 907-563-1000
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