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1730436478
SHIRLEY M WASSILLIE
DILLINGHAM, AK
NPI
1730436478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AK 99-316-P)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- SHIRLEY M WASSILLIE CHAP
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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Mailing Address
-- SHIRLEY M WASSILLIE CHAP
P.O. BOX 130 ATTN: CATHY TAYLOR
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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