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1124577804
MICHAEL CHASE
BETHEL, AK
NPI
1124577804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-23
Last Update Date
2016-09-23
Business Address
-- MICHAEL CHASE
833 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559-0528
Phone number: 907-543-6465
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Mailing Address
-- MICHAEL CHASE
PO BOX 528 ATTN: BH CRC PROGRAM
BETHEL, AK 99559-0528
Phone number: 907-543-6465
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