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1922441252
STASIA ELLIS
KODIAK, AK
NPI
1922441252
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Former Name
STASIA O'CONNOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-04-17
Last Update Date
2013-04-17
Business Address
-- STASIA ELLIS
1623 MILL BAY RD STE. 2
KODIAK, AK 99615-6200
Phone number: 907-512-2500
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Mailing Address
-- STASIA ELLIS
1623 MILL BAY RD STE. 2
KODIAK, AK 99615-6200
Phone number: 907-512-2500
Copy
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