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Individual

FAITH MARIE PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
SOLAR CIRCLE #2, TANANA, AK 99777
(907) 366-1030
Mailing address
122 1ST AVE STE 400, FAIRBANKS, AK 99701-4871
(907) 452-8251

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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