LARANELL LANNELL LEE JOHNSTON

BETHEL, AK
NPI1629590229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-07-14
Last Update Date2017-07-14
Business Address
LARANELL LANNELL LEE JOHNSTON
1410 CALISTA DRIVE
BETHEL, AK 99559
Phone number: 907-543-6730
Mailing Address
LARANELL LANNELL LEE JOHNSTON
P.O. BOX 528 ATTN: BH AHC PROGRAM
BETHEL, AK 99559
Phone number: 907-543-6730
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