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Individual

JANET L GILLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3568 GERAGHTY AVE, FAIRBANKS, AK 99709-4701
(907) 206-7402
Mailing address
PO BOX 35524, FORT WAINWRIGHT, AK 99703-0524
(928) 792-6186

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/02/2024
Last updated
02/02/2024
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