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1821219130
JACQUELINE JOHNSON
BETHEL, AK
NPI
1821219130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-05-02
Last Update Date
2007-07-09
Business Address
-- JACQUELINE JOHNSON
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Phone number: 907-543-6100
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Mailing Address
-- JACQUELINE JOHNSON
PO BOX 528
BETHEL, AK 99559
Phone number: 907-543-6100
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