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1033877873
AMOS BANHAM
PALMER, AK
NPI
1033877873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-11-29
Last Update Date
2024-08-16
Business Address
AMOS BANHAM
950 S SNODGRASS DR
PALMER, AK 99645-9750
Phone number: 907-373-4732
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Mailing Address
AMOS BANHAM
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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