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Individual

VICTORIA LYNZIE MILHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
965 COPPET ST, FAIRBANKS, AK 99709-4718
(907) 799-0607
Mailing address
965 COPPET ST, FAIRBANKS, AK 99709-4718
(907) 799-0607

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/02/2011
Last updated
01/30/2012
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