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1962045757
JASON BAVILLA
BETHEL, AK
NPI
1962045757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
JASON BAVILLA
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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Mailing Address
JASON BAVILLA
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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