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1063078129
JODY DEAN
WASILLA, AK
NPI
1063078129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
JODY DEAN BS, CDC I
300 N MAIN ST
WASILLA, AK 99654-7017
Phone number: 907-357-8784
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Mailing Address
JODY DEAN BS, CDC I
300 N MAIN ST
WASILLA, AK 99654-7017
Phone number: 907-357-8784
Copy
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