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ALICE SHANTZ

>> Lodging >> Other Service Providers

Registrant NPI Number: 1013137348

Organizational Registrant:
Organization Name:  ALICE SHANTZ
Organization is not Subpart
Authorized Official:  ALICE S SHANTZ  OWNER  907--54-33232

Location and contact information for practice:
473 RIDGECREST DRIVE BOX 1915 BETHEL, AK 99559-1915 US
Tel: 907-543-3232  Fax: 907-543-1443

Contact information for business:
PO BOX 1915 473 RIDGECREST DRIVE BETHEL, AK 99559-1915 US
Tel: 907-543-3232  Fax: 907-543-1443

Registration Information:
NPI: 1013137348
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y177F00000XOther Service Providers
Lodging
AK432920

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HM3180AK05




HEALTH CARE JOBS AK - Page 1



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