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1801118369
TERRY A MACK
BETHEL, AK
NPI
1801118369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-02-24
Last Update Date
2010-02-24
Business Address
-- TERRY A MACK
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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Mailing Address
-- TERRY A MACK
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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