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1134773807
IZAAK GRANT DOWNING
WASILLA, AK
NPI
1134773807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
IZAAK GRANT DOWNING BS
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
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Mailing Address
IZAAK GRANT DOWNING BS
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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