KOBE KEO LIFTEE THAMMAVONGSA

ANCHORAGE, AK
NPI1073122065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AK  159972)
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
KOBE KEO LIFTEE THAMMAVONGSA
4320 DIPLOMACY DR
ANCHORAGE, AK 99508-5925
Phone number: 907-729-0000
Mailing Address
KOBE KEO LIFTEE THAMMAVONGSA
7033 E TUDOR RD
ANCHORAGE, AK 99507-1262
Phone number: 907-729-0000
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