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1093074874
TENILLE AUSDAHL
BETHEL, AK
NPI
1093074874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
TENILLE AUSDAHL
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6300
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Mailing Address
TENILLE AUSDAHL
PO BOX 528
BETHEL, AK 99559-0528
Phone number:
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