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1336747823
KATHARINE BANNON
WASILLA, AK
NPI
1336747823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
-- KATHARINE BANNON
291 E SWANSON AVE
WASILLA, AK 99654-7004
Phone number: 907-376-3275
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Mailing Address
-- KATHARINE BANNON
291 E SWANSON AVE
WASILLA, AK 99654-7004
Phone number:
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