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1376903518
ANTHONY LONGVAL
ANCHORAGE, AK
NPI
1376903518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 1316)
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- ANTHONY LONGVAL
2825 W 42ND AVE
ANCHORAGE, AK 99517-2830
Phone number: 907-243-5130
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Mailing Address
-- ANTHONY LONGVAL
2825 W 42ND AVE
ANCHORAGE, AK 99517-2830
Phone number: 907-243-5130
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