ELIAS ANTONIO BLAIR

KETCHIKAN, AK
NPI1063016491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-11-25
Last Update Date2020-11-25
Business Address
Mr. ELIAS ANTONIO BLAIR
2951 BARANOF AVENUE
KETCHIKAN, AK 99901
Phone number: 907-220-4841
Mailing Address
Mr. ELIAS ANTONIO BLAIR
PO BOX 7475
KETCHIKAN, AK 99901-2475
Phone number: 907-220-4841
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