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1316329519
NIKKI WORM
BETHEL, AK
NPI
1316329519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
NIKKI WORM
381 4TH AVENUE
BETHEL, AK 99559-3227
Phone number: 907-543-2242
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Mailing Address
NIKKI WORM
PO BOX 3227 ATTN:BH BAUTISTA HOUSE PROGRAM
BETHEL, AK 99559-3227
Phone number: 907-543-2242
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