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1003055187
LOUIS MALLETTE
BETHEL, AK
NPI
1003055187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- LOUIS MALLETTE
940 STATE HWY
BETHEL, AK 99559
Phone number: 907-543-6000
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Mailing Address
-- LOUIS MALLETTE
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number:
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