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1831758879
CLAUDIA J VINCENT
FAIRBANKS, AK
NPI
1831758879
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Former Name
CLAUDIA J DEMIENTIEFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
CLAUDIA J VINCENT CT
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
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Mailing Address
CLAUDIA J VINCENT CT
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
Copy
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