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1073122065
KOBE KEO LIFTEE THAMMAVONGSA
ANCHORAGE, AK
NPI
1073122065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AK 159972)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
KOBE KEO LIFTEE THAMMAVONGSA
4320 DIPLOMACY DR
ANCHORAGE, AK 99508-5925
Phone number: 907-729-0000
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Mailing Address
KOBE KEO LIFTEE THAMMAVONGSA
7033 E TUDOR RD
ANCHORAGE, AK 99507-1262
Phone number: 907-729-0000
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