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1760954184
AUGUST CHARLES AGA
ANCHORAGE, AK
NPI
1760954184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 1847)
Enumeration Date
2018-12-24
Last Update Date
2018-12-24
Business Address
AUGUST CHARLES AGA CDC1/BHC1
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508-3463
Phone number: 907-562-4155
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Mailing Address
AUGUST CHARLES AGA CDC1/BHC1
5350 E REVOLUTIONARY WAY # 870238
WASILLA, AK 99654-6715
Phone number: 907-562-4155
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