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1972879914
ANECIA ACTIVE
DILLINGHAM, AK
NPI
1972879914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AK 99-321-P.)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
-- ANECIA ACTIVE
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
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Mailing Address
-- ANECIA ACTIVE
PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
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