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1043361629
KIM EDWARD THIELE
KENAI, AK
NPI
1043361629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AK MEDO4125)
Enumeration Date
2007-01-12
Last Update Date
2019-11-20
Business Address
Dr. KIM EDWARD THIELE D.O.
36901 MALLARD RD
KENAI, AK 99611-6434
Phone number: 907-283-5000
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Mailing Address
Dr. KIM EDWARD THIELE D.O.
36901 MALLARD RD
KENAI, AK 99611-6434
Phone number: 907-283-5000
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