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1013382555
SAMUEL MOSES
BETHEL, AK
NPI
1013382555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
-- SAMUEL MOSES
1360 CALISTA DRIVE
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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Mailing Address
-- SAMUEL MOSES
PO BOX 528 ATTN: BH SOBERING CENTER
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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