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1073841797
KIMBERLY R SELF
BARROW, AK
NPI
1073841797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AK 1395)
Additional Taxonomies
122300000X Dentist
(Licence: TX 24630)
Enumeration Date
2009-11-19
Last Update Date
2012-07-18
Business Address
-- KIMBERLY R SELF D.D.S.
1296 AGVIK STREET
BARROW, AK 99723-0029
Phone number: 907-852-9221
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Mailing Address
-- KIMBERLY R SELF D.D.S.
1296 AGVIK STREET PO BOX 29
BARROW, AK 99723-0029
Phone number: 907-852-9221
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