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Individual

AMBER LOVEN-GREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Mailing address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH3237
AK
Enumeration date
04/05/2013
Last updated
04/05/2013
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