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1144607110
STEPHANIE BENNER
DILLINGHAM, AK
NPI
1144607110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AK 14-1314-III)
Enumeration Date
2015-04-29
Last Update Date
2023-03-27
Business Address
STEPHANIE BENNER
6000 KANAKANAK RD.
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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Mailing Address
STEPHANIE BENNER
PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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