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Individual

MRS. EDITH ANNETTE GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
542 4TH AVE, FAIRBANKS, AK 99701-4707
(907) 374-1097
Mailing address
542 4TH AVE, FAIRBANKS, AK 99701-4707
(907) 374-1097

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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