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1114114576
LENA M. IVAN
BETHEL, AK
NPI
1114114576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
LENA M. IVAN
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-4444
Phone number: 907-543-6300
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Mailing Address
LENA M. IVAN
700 CHIEF EDDIE HOFFMAN HIGHWAY PO BOX 287
BETHEL, AK 99559-4444
Phone number: 907-543-6300
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