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1417132135
FAITH BRAINERD KELLY
CHUGIAK, AK
NPI
1417132135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-31
Last Update Date
2008-02-28
Business Address
-- FAITH BRAINERD KELLY
18606 OLD GLEN HIGHWAY
CHUGIAK, AK 99567-1750
Phone number: 907-688-0282
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Mailing Address
-- FAITH BRAINERD KELLY
PO BOX 671750
CHUGIAK, AK 99567-1750
Phone number:
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