JEFFREY LEE ROSE

NOME, AK
NPI1578112629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
JEFFREY LEE ROSE
607 DIVISION STREET
NOME, AK 99762-0966
Phone number: 907-443-3344
Mailing Address
JEFFREY LEE ROSE
PO BOX 966
NOME, AK 99762-0966
Phone number: 907-443-3344
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