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1801540356
JENNIFER BOURNE
WASILLA, AK
NPI
1801540356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
JENNIFER BOURNE
7010 E BOGARD RD BLDG 2
WASILLA, AK 99654-4711
Phone number: 907-373-4732
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Mailing Address
JENNIFER BOURNE
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732
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