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1861946816
BRENDA HENZE-NELSON
FAIRBANKS, AK
NPI
1861946816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
-- BRENDA HENZE-NELSON
710 3RD AVE
FAIRBANKS, AK 99701-4455
Phone number: 907-452-4222
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Mailing Address
-- BRENDA HENZE-NELSON
710 3RD AVE
FAIRBANKS, AK 99701-4455
Phone number: 907-452-4222
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