ETHAN JOHN ILMAR

BETHEL, AK
NPI1982125753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2017-07-03
Last Update Date2017-07-03
Business Address
ETHAN JOHN ILMAR
839 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Phone number: 907-543-2740
Mailing Address
ETHAN JOHN ILMAR
P.O. BOX 528 ATTN: BH MALONE HOME PROGRAM
BETHEL, AK 99559
Phone number: 907-543-2740
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