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1306575931
ROY PENTECOSTES
ANCHORAGE, AK
NPI
1306575931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
ROY PENTECOSTES MHS
3760 PIPER ST STE LL139
ANCHORAGE, AK 99508-4683
Phone number: 907-563-5006
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Mailing Address
ROY PENTECOSTES MHS
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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