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1740572056
EDWARD WASSILLIE
BETHEL, AK
NPI
1740572056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2011-05-04
Last Update Date
2011-05-04
Business Address
-- EDWARD WASSILLIE
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6300
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Mailing Address
-- EDWARD WASSILLIE
PO BOX 528
BETHEL, AK 99559-0528
Phone number:
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