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1912020777
JAY DAVID
NOME, AK
NPI
1912020777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AK 599)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
MR. JAY DAVID L.C.S.W.
306 5TH AVE W
NOME, AK 99762
Phone number: 907-443-3475
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Mailing Address
MR. JAY DAVID L.C.S.W.
PO BOX 1112
NOME, AK 99762-1112
Phone number: 907-443-3475
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