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1144695628
MARINA KOONOOKA
NOME, AK
NPI
1144695628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-09
Last Update Date
2017-02-21
Business Address
-- MARINA KOONOOKA CHA-T
607 DIVISION STREET
NOME, AK 99762-0966
Phone number: 907-985-5110
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Mailing Address
-- MARINA KOONOOKA CHA-T
PO BOX 190 190 BOWHEAD WAY
GAMBELL, AK 99742-0190
Phone number: 907-985-5012
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