WALLY JACKSON-JOHN

BETHEL, AK
NPI1790984771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2007-07-11
Last Update Date2011-08-09
Business Address
WALLY JACKSON-JOHN
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6300
Mailing Address
WALLY JACKSON-JOHN
PO BOX 528
BETHEL, AK 99559-0528
Phone number:
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