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1295167179
BENITO ARTILLERO ACHAS
KODIAK, AK
NPI
1295167179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 2266)
Enumeration Date
2013-08-02
Last Update Date
2013-08-02
Business Address
Mr. BENITO ARTILLERO ACHAS CDC1
717 E REZANOF DR
KODIAK, AK 99615-6416
Phone number: 907-481-2400
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Mailing Address
Mr. BENITO ARTILLERO ACHAS CDC1
201 KASHEVAROFF AVE APT 206
KODIAK, AK 99615-6385
Phone number: 907-486-3172
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