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1194840835
FORREST L CHARLES
PALMER, AK
NPI
1194840835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AK 232050)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
FORREST L CHARLES
10703 S OLD GLENN HWY
PALMER, AK 99645-8228
Phone number: 907-745-5715
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Mailing Address
FORREST L CHARLES
10703 S OLD GLENN HWY
PALMER, AK 99645-8228
Phone number: 907-745-5715
Copy
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