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1821643412
CORDERO ALLAN WADE-GONZALES
ANCHORAGE, AK
NPI
1821643412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-09
Last Update Date
2022-04-25
Business Address
CORDERO ALLAN WADE-GONZALES
3710 E 20TH AVE
ANCHORAGE, AK 99508-3418
Phone number: 907-306-8693
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Mailing Address
CORDERO ALLAN WADE-GONZALES
2405 GLENKERRY DR
ANCHORAGE, AK 99504-3236
Phone number: 907-306-8693
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