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1053721118
JOHNATHAN MICHAEL FRIEND
BETHEL, AK
NPI
1053721118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- JOHNATHAN MICHAEL FRIEND
5016 NOEL POLTY BLVD.
BETHEL, AK 99559-1029
Phone number: 907-543-6800
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Mailing Address
-- JOHNATHAN MICHAEL FRIEND
PO BOX 1029 MCCANN TREATMENT CENTER
BETHEL, AK 99559-1029
Phone number: 907-543-6800
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