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1003023391
JIMMY J. JIMMY
BETHEL, AK
NPI
1003023391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- JIMMY J. JIMMY
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0287
Phone number: 907-543-6300
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Mailing Address
-- JIMMY J. JIMMY
PO BOX 287
BETHEL, AK 99559-0287
Phone number: 907-543-6300
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