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1790320513
RUBY OKITKUN
BETHEL, AK
NPI
1790320513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: AK 13-116-DHAT)
Enumeration Date
2019-11-15
Last Update Date
2019-12-12
Business Address
RUBY OKITKUN
700 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Phone number: 907-543-6229
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Mailing Address
RUBY OKITKUN
PO BOX 246
EMMONAK, AK 99581-0246
Phone number: 907-949-3500
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