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1316781222
ALBERT GOSS
WASILLA, AK
NPI
1316781222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
ALBERT GOSS
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
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Mailing Address
ALBERT GOSS
PO BOX 876741
WASILLA, AK 99687-6741
Phone number:
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