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1003560426
DIANA LUCERO
WASILLA, AK
NPI
1003560426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
DIANA LUCERO
7010 E BOGARD RD BLDG 1
WASILLA, AK 99654-4711
Phone number: 907-746-4748
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Mailing Address
DIANA LUCERO
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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