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1013424746
JENNY B DEMANTLE
BETHEL, AK
NPI
1013424746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
JENNY B DEMANTLE
1410 CALISTA DRIVE
BETHEL, AK 99559
Phone number: 907-543-6730
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Mailing Address
JENNY B DEMANTLE
P.O. BOX 528 ATTN: BH AHC PROGRAM
BETHEL, AK 99559
Phone number: 907-543-6730
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