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1548093008
ANGELA MARIE PENATAC
FAIRBANKS, AK
NPI
1548093008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
ANGELA MARIE PENATAC Health Aide
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-888-3416
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Mailing Address
ANGELA MARIE PENATAC Health Aide
707 16TH AVE APT 3
FAIRBANKS, AK 99701-6172
Phone number: 907-888-3416
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