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1124321989
DOUGLAS EDWARD SMITH
WASILLA, AK
NPI
1124321989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-16
Last Update Date
2010-12-16
Business Address
Mr. DOUGLAS EDWARD SMITH BS
5431 E MAYFLOWER LN SUITE 5
WASILLA, AK 99654-7891
Phone number: 907-357-6860
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Mailing Address
Mr. DOUGLAS EDWARD SMITH BS
PO BOX 876742
WASILLA, AK 99687-6742
Phone number: 907-952-8773
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