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1871159905
COBY JAMES SHABOLIN
ANCHORAGE, AK
NPI
1871159905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
COBY JAMES SHABOLIN
7033 E TUDOR RD
ANCHORAGE, AK 99507
Phone number: 907-729-5020
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Mailing Address
COBY JAMES SHABOLIN
7033 E TUDOR RD
ANCHORAGE, AK 99507-1262
Phone number: 907-729-5020
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