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1881966414
JOHN MICHAEL WORRALL
FAIRBANKS, AK
NPI
1881966414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: AK 103142)
Enumeration Date
2012-01-27
Last Update Date
2015-09-09
Business Address
Dr. JOHN MICHAEL WORRALL Ph.D.
315 5TH AVE
FAIRBANKS, AK 99701-5025
Phone number: 907-374-7776
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Mailing Address
Dr. JOHN MICHAEL WORRALL Ph.D.
PO BOX 70485
FAIRBANKS, AK 99707-0485
Phone number: 907-750-2988
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