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1932472172
CANDICE KYLEEN NATHANIEL
FAIRBANKS, AK
NPI
1932472172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
-- CANDICE KYLEEN NATHANIEL
110 2ND AVE
FAIRBANKS, AK 99701-4809
Phone number: 907-452-7946
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Mailing Address
-- CANDICE KYLEEN NATHANIEL
1428 GILLAM WAY # 1
FAIRBANKS, AK 99701-6073
Phone number: 907-799-1024
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