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1952676314
THEODORE WYATT MOLE
SOLDOTNA, AK
NPI
1952676314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 736)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
-- THEODORE WYATT MOLE L. P. C.
35037 ROYAL PL
SOLDOTNA, AK 99669-9755
Phone number: 907-260-7423
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Mailing Address
-- THEODORE WYATT MOLE L. P. C.
48405 BERNICE AVE
SOLDOTNA, AK 99669-9437
Phone number: 907-953-1103
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