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1063016772
MICHAEL IANN MARTIN
KETCHIKAN, AK
NPI
1063016772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
Mr. MICHAEL IANN MARTIN
2514 FIRST AVE
KETCHIKAN, AK 99901-5804
Phone number: 907-821-8119
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Mailing Address
Mr. MICHAEL IANN MARTIN
PO BOX 7475
KETCHIKAN, AK 99901-2475
Phone number: 907-821-8119
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