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1720356520
AMANDA SHAVINGS
BETHEL, AK
NPI
1720356520
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Former Name
AMANDA WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist Dental Public Health
(Licence: AK 11-082-PDHA1)
Enumeration Date
2011-12-07
Last Update Date
2011-12-07
Business Address
MRS. AMANDA SHAVINGS PDHA 1
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-827-8111
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Mailing Address
MRS. AMANDA SHAVINGS PDHA 1
PO BOX 86
MEKORYUK, AK 99630-0086
Phone number: 907-827-2078
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