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1174291322
SHAWN EVERETT BERGAMASCHI
NOME, AK
NPI
1174291322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
SHAWN EVERETT BERGAMASCHI CHA-T
1000 GREG KRUSHEK AVE
NOME, AK 99762-9976
Phone number: 907-638-3311
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Mailing Address
SHAWN EVERETT BERGAMASCHI CHA-T
1 SCOW JOHN ROAD
WHITE MOUNTAIN, AK 99784
Phone number: 907-638-3311
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