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1861769796
PHYLLIS L FARRELL
NOME, AK
NPI
1861769796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AK 00-439-P)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
-- PHYLLIS L FARRELL C H P
306 WEST 5TH AVE
NOME, AK 99762-0966
Phone number: 907-443-3311
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Mailing Address
-- PHYLLIS L FARRELL C H P
306 W 5TH AVE
NOME, AK 99762
Phone number: 907-443-3311
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