Individual
JORDAN KNUTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
526 GAFFNEY RD, FAIRBANKS, AK 99701-4914
(907) 687-5428
Mailing address
PO BOX 450, NENANA, AK 99760-0450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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