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1518439496
KIRT LARRY ALEXANDER
EUREKA, CA
NPI
1518439496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
KIRT LARRY ALEXANDER
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
KIRT LARRY ALEXANDER
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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