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1144782657
ALECIA ANN GOTTLOB
KENAI, AK
NPI
1144782657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
ALECIA ANN GOTTLOB BA
10200 KENAI SPUR HWY
KENAI, AK 99611-7807
Phone number: 907-283-3658
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Mailing Address
ALECIA ANN GOTTLOB BA
PO BOX 882
KENAI, AK 99611-0882
Phone number: 907-283-3658
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