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1548670490
JOSE PENTECOSTES
ANCHORAGE, AK
NPI
1548670490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AK 1029943)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
-- JOSE PENTECOSTES
4840 LEAH CT
ANCHORAGE, AK 99508-3787
Phone number: 907-868-3775
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Mailing Address
-- JOSE PENTECOSTES
4840 LEAH CT
ANCHORAGE, AK 99508-3787
Phone number: 907-868-3775
Copy
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