ANTONIO DEQUAN THOMAS

BETHEL, AK
NPI1689171480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-04-09
Last Update Date2018-04-09
Business Address
ANTONIO DEQUAN THOMAS
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Phone number: 907-543-6800
Mailing Address
ANTONIO DEQUAN THOMAS
P.O. BOX 1029 ATTN: BH MCCANN TREATMENT CENTER
BETHEL, AK 99559
Phone number: 907-543-6800
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