KRYSTAL SUZANNE BALLOT

SELAWIK, AK
NPI1417224908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  00-378-P)
Enumeration Date2011-11-28
Last Update Date2011-11-28
Business Address
-- KRYSTAL SUZANNE BALLOT chp
#3 ADAMS LANDING-OLD
SELAWIK, AK 99770-0180
Phone number: 907-484-2199
Mailing Address
-- KRYSTAL SUZANNE BALLOT chp
#3 ADAMS LANDING-OLD BOX 180
SELAWIK, AK 99770-0180
Phone number: 907-484-2199
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