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1851433668
DEALY E. BLACKSHEAR
NOME, AK
NPI
1851433668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AK 635)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
MR. DEALY E. BLACKSHEAR LCSW
5TH AND DIVISION STREETS
NOME, AK 99762
Phone number: 907-443-3289
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Mailing Address
MR. DEALY E. BLACKSHEAR LCSW
PO BOX 1802 605 LOMENS STREET
NOME, AK 99762-1802
Phone number: 907-443-3289
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