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1053724641
MICHAEL RICHARD THOMAS
BETHEL, AK
NPI
1053724641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
MICHAEL RICHARD THOMAS
1360 CALISTA DRIVE BH SOBERING CENTER
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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Mailing Address
MICHAEL RICHARD THOMAS
PO BOX 528 ATTN:BH SOBERING CENTER
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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