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1427329002
BALASSA LARSON
BETHEL, AK
NPI
1427329002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
-- BALASSA LARSON
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6160
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Mailing Address
-- BALASSA LARSON
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number:
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