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1922756147
BRENDAN VANCE HAINES
WASILLA, AK
NPI
1922756147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
BRENDAN VANCE HAINES
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
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Mailing Address
BRENDAN VANCE HAINES
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
Copy
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