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1891114906
STACI SMART
BETHEL, AK
NPI
1891114906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-04-16
Last Update Date
2020-04-30
Business Address
STACI SMART
700 CHIEF EDDIE HOFFMAN
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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Mailing Address
STACI SMART
PO BOX 287
BETHEL, AK 99559-0287
Phone number: 907-543-6100
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