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1114996766
TIMOTHY J. MANNEN
ANCHORAGE, AK
NPI
1114996766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AK 427)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
MR. TIMOTHY J. MANNEN ANP
2925 DEBARR RD
ANCHORAGE, AK 99508-2983
Phone number: 907-257-4854
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Mailing Address
MR. TIMOTHY J. MANNEN ANP
2925 DEBARR RD
ANCHORAGE, AK 99508-2983
Phone number: 907-257-4854
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