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1144810466
LEWIS KIRK
WASILLA, AK
NPI
1144810466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
LEWIS KIRK
26731 W POINT MACKENZIE RD
WASILLA, AK 99623-8709
Phone number: 907-376-4534
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Mailing Address
LEWIS KIRK
26731 W POINT MACKENZIE RD
WASILLA, AK 99623-8709
Phone number: 907-376-4534
Copy
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