IDA E LINCOLN

WHITE MOUNTAIN, AK
NPI1154698074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  11-1131-III)
Enumeration Date2011-11-21
Last Update Date2011-11-21
Business Address
-- IDA E LINCOLN CHA III
1 SOW JOHN RD
WHITE MOUNTAIN, AK 99784-0029
Phone number: 907-638-3311
Mailing Address
-- IDA E LINCOLN CHA III
P O BOX 29 1 SOW JOHN RD
WHITE MOUNTAIN, AK 99784-0029
Phone number: 907-638-3311
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