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1174890503
DARREL LEE BAKK
DILLINGHAM, AK
NPI
1174890503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
DARREL LEE BAKK
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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Mailing Address
DARREL LEE BAKK
P.O. BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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