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1760783146
DOUG MODIG
KOTZEBUE, AK
NPI
1760783146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-16
Last Update Date
2010-11-16
Business Address
-- DOUG MODIG
722 2ND
KOTZEBUE, AK 99752-0256
Phone number: 907-442-7745
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Mailing Address
-- DOUG MODIG
733 2ND
KOTZEBUE, AK 99752-0256
Phone number: 907-442-7745
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