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1235688912
MIRANDA JOHANSSON
BETHEL, AK
NPI
1235688912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-23
Last Update Date
2016-09-23
Business Address
-- MIRANDA JOHANSSON
1360 CALISTA DRIVE
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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Mailing Address
-- MIRANDA JOHANSSON
PO BOX 528 ATTN: BH SOBERING CENTER
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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