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1982164208
LEEANNA SAMUEL WILDE
BETHEL, AK
NPI
1982164208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
LEEANNA SAMUEL WILDE
829 CHEIF EDDIE HOFFMAN HWY SUITE 150
BETHEL, AK 99559
Phone number: 907-543-6100
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Mailing Address
LEEANNA SAMUEL WILDE
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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