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1962615955
WAYNE WALLUK
KOTZEBUE, AK
NPI
1962615955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- WAYNE WALLUK
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752-0436
Phone number: 907-442-7640
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Mailing Address
-- WAYNE WALLUK
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752-0436
Phone number:
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