GLEN A FAZAKERLEY

KETCHIKAN, AK
NPI1306142781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-02-02
Last Update Date2011-07-12
Business Address
-- GLEN A FAZAKERLEY CDCI
201 DEERMOUNT ST
KETCHIKAN, AK 99901-6649
Phone number: 907-225-7825
Mailing Address
-- GLEN A FAZAKERLEY CDCI
201 DEERMOUNT ST
KETCHIKAN, AK 99901-6649
Phone number: 907-225-7825
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