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1255096848
HARRY JONATHAN NICHOLAS
BETHEL, AK
NPI
1255096848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
HARRY JONATHAN NICHOLAS
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Phone number: 907-543-6100
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Mailing Address
HARRY JONATHAN NICHOLAS
PO BOX 287
BETHEL, AK 99559-0287
Phone number:
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