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1235707639
KATHRYN MANSUR
HOMER, AK
NPI
1235707639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
KATHRYN MANSUR
51310 TIMBER BAY COURT
HOMER, AK 99603
Phone number: 907-235-4732
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Mailing Address
KATHRYN MANSUR
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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