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Individual

ROBERT RICHARD DORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COUNSELOR TECHNICIAN

Contact information

Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
(907) 456-4849
Mailing address
PO BOX 73658, FAIRBANKS, AK 99707-3658

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4518
AK

Other

Enumeration date
01/18/2021
Last updated
01/18/2021
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