QUENTIN OTTO DEMIENTIEFF

BETHEL, AK
NPI1447744024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-06-18
Last Update Date2018-06-18
Business Address
QUENTIN OTTO DEMIENTIEFF
1360 CALISTA DRIVE
BETHEL, AK 99559
Phone number: 907-543-6830
Mailing Address
QUENTIN OTTO DEMIENTIEFF
P.O. BOX 528 ATTN: BH SOBERING CENTER
BETHEL, AK 99559
Phone number: 907-543-6830
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