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1205918729
MARK W KELSO
NOME, AK
NPI
1205918729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AK 695)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- MARK W KELSO DDS
306 W 5TH AVE
NOME, AK 99762-0966
Phone number: 907-443-3311
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Mailing Address
-- MARK W KELSO DDS
PO BOX 1308
NOME, AK 99762-1308
Phone number: 907-443-3309
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