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1356902589
MARTIN THEULEN
ANCHORAGE, AK
NPI
1356902589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
MARTIN THEULEN
1015 E 6TH AVE
ANCHORAGE, AK 99501-2748
Phone number: 907-276-6430
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Mailing Address
MARTIN THEULEN
1015 E 6TH AVE
ANCHORAGE, AK 99501-2748
Phone number: 907-276-6430
Copy
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