JOHNNY RICHARD CLYDE

FAIRBANKS, AK
NPI1932864220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
JOHNNY RICHARD CLYDE
1521 HILTON AVE
FAIRBANKS, AK 99701-4015
Phone number: 907-371-1308
Mailing Address
JOHNNY RICHARD CLYDE
4020 FOLKER ST
ANCHORAGE, AK 99508-5321
Phone number: 907-563-1000
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