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1942866009
KARL ROBERT SODERSTROM
WASILLA, AK
NPI
1942866009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-14
Last Update Date
2020-02-18
Business Address
KARL ROBERT SODERSTROM
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
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Mailing Address
KARL ROBERT SODERSTROM
300 N MAIN ST
WASILLA, AK 99654-7017
Phone number: 907-357-8784
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