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1821453275
ANGEL MEDINA
BETHEL, AK
NPI
1821453275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- ANGEL MEDINA
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559-0528
Phone number: 907-543-6552
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Mailing Address
-- ANGEL MEDINA
PO BOX 528 ATTN: BH MORGAN HOUSE PROGRAM
BETHEL, AK 99559-0528
Phone number: 907-543-6552
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