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1487062295
MATTHEW RAYMOND LAUTERSACK
BETHEL, AK
NPI
1487062295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2014-07-24
Last Update Date
2014-07-24
Business Address
MATTHEW RAYMOND LAUTERSACK
839 CHIEF EDDIE HOFFMAN HWY.
BETHEL, AK 99559-0528
Phone number: 907-543-2740
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Mailing Address
MATTHEW RAYMOND LAUTERSACK
P.O. BOX 528 ATTN: BH MALONE HOME PROGRAM
BETHEL, AK 99559-0528
Phone number: 907-543-2740
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