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1861880163
JENNIFER WAITE
FAIRBANKS, AK
NPI
1861880163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AK 3927)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
JENNIFER WAITE
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
JENNIFER WAITE
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
Copy
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