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1215322136
BRAIN BOMA
BETHEL, AK
NPI
1215322136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-03-30
Last Update Date
2015-03-30
Business Address
BRAIN BOMA
835 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Phone number: 907-543-6552
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Mailing Address
BRAIN BOMA
PO BOX 528 ATTN:BH MORGAN HOUSE PROGRAM
BETHEL, AK 99559-0528
Phone number: 907-543-6552
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