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1689087272
MICKELLE KAREN WATERS
BETHEL, AK
NPI
1689087272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
-- MICKELLE KAREN WATERS
1360 CALISTA DRIVE BH SOBERING CENTER
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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Mailing Address
-- MICKELLE KAREN WATERS
PO BOX 528 ATTN: BH SOBERING CENTER
BETHEL, AK 99559-0528
Phone number: 907-543-6830
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