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1902020290
LORRAINE FULLBRIGHT
CHUGIAK, AK
NPI
1902020290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK CM6474)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
-- LORRAINE FULLBRIGHT
18606 OLD GLENN HIGHWAY
CHUGIAK, AK 99567
Phone number: 907-688-0282
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Mailing Address
-- LORRAINE FULLBRIGHT
PO BOX 671750
CHUGIAK, AK 99567-1750
Phone number:
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