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Individual

MOLLY B CENKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 456-7010
Mailing address
3258 ADAMS DR, FAIRBANKS, AK 99709-5046

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH3237
AK
Enumeration date
01/03/2012
Last updated
01/03/2012
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