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1174891303
JEREMY W JEFFRIES
DILLINGHAM, AK
NPI
1174891303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
MR. JEREMY W JEFFRIES CHA
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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Mailing Address
MR. JEREMY W JEFFRIES CHA
P.O. BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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