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Individual

MARYSSA O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 371-1300
Mailing address
1423 PEGER RD, FAIRBANKS, AK 99709-5169

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/16/2017
Last updated
10/16/2017
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