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1508616236
ALASKAN AMAZING GRACE ALH LLC
ANCHORAGE, AK
NPI
1508616236
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Entity Type
Organization
Authorized Contact
JERRY FONSECA
Owner/Administrator
907-440-3000
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
ALASKAN AMAZING GRACE ALH LLC
4939 FOLKER ST UNIT A
ANCHORAGE, AK 99507-1456
Phone number: 907-440-3000
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Mailing Address
ALASKAN AMAZING GRACE ALH LLC
4939 FOLKER ST UNIT A
ANCHORAGE, AK 99507-1456
Phone number: 907-440-3000
Copy
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