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1598325433
TATYANA DISLA
PALMER, AK
NPI
1598325433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-13
Last Update Date
2020-01-24
Business Address
TATYANA DISLA
561 S DENALI ST STE F
PALMER, AK 99645-6464
Phone number: 907-707-1291
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Mailing Address
TATYANA DISLA
360 W BENSON BLVD STE 300
ANCHORAGE, AK 99503-3953
Phone number: 907-565-1200
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