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1477973089
JONATHAN STRONG
KODIAK, AK
NPI
1477973089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA S1006171624)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- JONATHAN STRONG R.A.S
717 REZANOF DR E
KODIAK, AK 99615-6416
Phone number: 907-481-2400
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Mailing Address
-- JONATHAN STRONG R.A.S
PO BOX 1024
KODIAK, AK 99615-1024
Phone number: 209-923-1725
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