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1417224999
CHERYL JEAN DOUGLAS
AMBLER, AK
NPI
1417224999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: AK 10-1057-II)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- CHERYL JEAN DOUGLAS chp
110 MAIN STREET
AMBLER, AK 99786-0110
Phone number: 907-445-2129
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Mailing Address
-- CHERYL JEAN DOUGLAS chp
110 MAIN STREET
AMBLER, AK 99786-0110
Phone number: 907-445-2129
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