WESLEY JAMES BREEDLOVE

PORT GRAHAM, AK
NPI1174767396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  08-948-11)
Enumeration Date2009-05-01
Last Update Date2009-05-01
Business Address
Mr. WESLEY JAMES BREEDLOVE CHA 3
5530 GRAHAM ROAD
PORT GRAHAM, AK 99603
Phone number: 907-284-2241
Mailing Address
Mr. WESLEY JAMES BREEDLOVE CHA 3
PO BOX 5508
PORT GRAHAM, AK 99603-5508
Phone number: 907-284-2241
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