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1043927700
ROLAND I AGUSTIN
ANCHORAGE, AK
NPI
1043927700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AK 2154560)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
ROLAND I AGUSTIN
11621 NIX CT
ANCHORAGE, AK 99515-3409
Phone number: 248-250-3800
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Mailing Address
ROLAND I AGUSTIN
11621 NIX CT
ANCHORAGE, AK 99515-3409
Phone number: 248-250-3800
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