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1386907954
LESTER E JACQUES
SOLDOTNA, AK
NPI
1386907954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK 970900)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- LESTER E JACQUES
117 ATHABASKAN DR
SOLDOTNA, AK 99669
Phone number: 907-260-3773
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Mailing Address
-- LESTER E JACQUES
PO BOX 1000
STERLING, AK 99672-1000
Phone number: 907-260-3773
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