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1164931598
DANIEL NICHOLS
BETHEL, AK
NPI
1164931598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
DANIEL NICHOLS
1360 CALISTA DRIVE
BETHEL, AK 99559
Phone number: 907-543-6830
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Mailing Address
DANIEL NICHOLS
P.O. BOX 528 ATTN: BH SOBERING CENTER
BETHEL, AK 99559
Phone number: 907-543-6830
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