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1174812036
LISA NELSON
WRANGELL, AK
NPI
1174812036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2011-03-31
Last Update Date
2020-11-30
Business Address
LISA NELSON
110 LYNCH ST.
WRANGELL, AK 99929
Phone number: 907-874-5095
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Mailing Address
LISA NELSON
PO BOX 507
YAKUTAT, AK 99689-0507
Phone number: 907-784-3639
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