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1568076107
FANNIE SOPHIE EVAN
BETHEL, AK
NPI
1568076107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
FANNIE SOPHIE EVAN
1360 CALISTA DRIVE
BETHEL, AK 99559
Phone number: 907-543-6830
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Mailing Address
FANNIE SOPHIE EVAN
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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