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1164896775
ALEXANDRA ACTIVE
BETHEL, AK
NPI
1164896775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- ALEXANDRA ACTIVE
460 RIDGECREST DRIVE SUITE 215
BETHEL, AK 99559-0528
Phone number: 907-543-2762
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Mailing Address
-- ALEXANDRA ACTIVE
PO BOX 528 ATTN: BH DD SERVICES
BETHEL, AK 99559-0528
Phone number: 907-543-2762
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