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1124371349
AMY J WASSILLIE
DILLINGHAM, AK
NPI
1124371349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AK 07-935-P)
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
-- AMY J WASSILLIE
6000 KANAKANAK RD MEDICAL STAFF DEPARTMENT
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
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Mailing Address
-- AMY J WASSILLIE
P.O. BOX 130 MEDICAL STAFF OFFICE
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
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