MONTIE DALE FORD

FAIRBANKS, AK
NPI1891079976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
MONTIE DALE FORD CDC 1
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
MONTIE DALE FORD CDC 1
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
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