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1285239905
JONATHAN GONZALES MAKUA
KETCHIKAN, AK
NPI
1285239905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
Mr. JONATHAN GONZALES MAKUA
2514 FIRST AVE
KETCHIKAN, AK 99901-5804
Phone number: 907-225-4664
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Mailing Address
Mr. JONATHAN GONZALES MAKUA
PO BOX 7475
KETCHIKAN, AK 99901-2475
Phone number: 907-225-4664
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