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1255744306
HECTOR BRAVO
DILLINGHAM, AK
NPI
1255744306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
-- HECTOR BRAVO
6000 KANAKANAK RD.
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5266
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Mailing Address
-- HECTOR BRAVO
PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5266
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