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1558918631
ANTONIO LEE ABBOTT
KAKE, AK
NPI
1558918631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
ANTONIO LEE ABBOTT
105 TOTEM WAY
KAKE, AK 99830-0605
Phone number: 907-785-6515
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Mailing Address
ANTONIO LEE ABBOTT
PO BOX 605
KAKE, AK 99830-0605
Phone number: 907-785-6515
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