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1477109478
JUSTIN L THOMPSON
BETHEL, AK
NPI
1477109478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2019-08-15
Last Update Date
2020-12-31
Business Address
JUSTIN L THOMPSON
381 4TH AVE
BETHEL, AK 99559
Phone number: 907-543-2242
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Mailing Address
JUSTIN L THOMPSON
PO BOX 3227
BETHEL, AK 99559-3227
Phone number: 907-543-2242
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