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1922709104
ALICIA KOSTELECKY
KODIAK, AK
NPI
1922709104
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Other Name
ALI KOSTELECKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-14
Last Update Date
2023-06-05
Business Address
ALICIA KOSTELECKY
1818 E REZANOF DR
KODIAK, AK 99615-6505
Phone number: 907-481-2400
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Mailing Address
ALICIA KOSTELECKY
PO BOX 3290
PORTLAND, OR 97208-3290
Phone number: 866-907-1068
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