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1205561370
ANTHONY WILLIAM BROTZGE
WASILLA, AK
NPI
1205561370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
ANTHONY WILLIAM BROTZGE
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
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Mailing Address
ANTHONY WILLIAM BROTZGE
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
Copy
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