JONATHAN LEE CARROLL

WASILLA, AK
NPI1972126704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-05-27
Last Update Date2020-05-27
Business Address
JONATHAN LEE CARROLL
1363 W SPRUCE AVE
WASILLA, AK 99654-5327
Phone number: 907-376-2411
Mailing Address
JONATHAN LEE CARROLL
580 W ROY RD APT 2
WASILLA, AK 99654-3258
Phone number: 907-775-5684
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