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1285465591
MARK SCOTT GERRY
WASILLA, AK
NPI
1285465591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 5183)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
MARK SCOTT GERRY
26731 W POINT MACKENZIE RD
WASILLA, AK 99623-8709
Phone number: 907-376-4534
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Mailing Address
MARK SCOTT GERRY
PO BOX 871545
WASILLA, AK 99687-1545
Phone number: 907-376-4534
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