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1073081451
GRANT IAN SLATS
BETHEL, AK
NPI
1073081451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
GRANT IAN SLATS
381 4TH AVE
BETHEL, AK 99559
Phone number: 907-543-2242
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Mailing Address
GRANT IAN SLATS
PO BOX 3227
BETHEL, AK 99559-3227
Phone number: 907-543-2242
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