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Individual

SIMON BARKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1825 MARIKA ROAD, FAIRBANKS, AK 99709
(907) 459-4700
Mailing address
1825 MARIKA ROAD, FAIRBANKS, AK 99709

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2019
Last updated
10/04/2019
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