KENDAL WAGNER KRUSE

NOME, AK
NPI1184021156
Former NameKENDAL WAGNER PIKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AK  347)
Enumeration Date2014-11-19
Last Update Date2015-10-14
Business Address
MRS. KENDAL WAGNER KRUSE RD
1000 GREG KRUSCHEK AVENUE
NOME, AK 99762
Phone number: 907-443-4589
Mailing Address
MRS. KENDAL WAGNER KRUSE RD
PO BOX 996
NOME, AK 99762
Phone number: 907-443-3311
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