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1922665132
YELENA PETKOVA
FAIRBANKS, AK
NPI
1922665132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
-- YELENA PETKOVA
270 FAIRHILL RD
FAIRBANKS, AK 99712-1614
Phone number: 907-457-1158
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Mailing Address
-- YELENA PETKOVA
607 OLD STEESE HWY STE B176
FAIRBANKS, AK 99701-3163
Phone number: 907-457-1158
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