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1346846607
TAMMY JACKSON
KLAWOCK, AK
NPI
1346846607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-10
Last Update Date
2021-02-09
Business Address
TAMMY JACKSON
655 SOUTH SUMMIT STREET
KLAWOCK, AK 99925
Phone number: 907-225-7825
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Mailing Address
TAMMY JACKSON
1800 CRAIG-KLAWOCK HWY
CRAIG, AK 99921
Phone number: 907-225-7825
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