COREY KETTERING

ANCHORAGE, AK
NPI1215320577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  7194)
Enumeration Date2015-03-11
Last Update Date2015-03-11
Business Address
-- COREY KETTERING
700 E 34TH AVE
ANCHORAGE, AK 99503-4120
Phone number: 330-936-0142
Mailing Address
-- COREY KETTERING
PO BOX 2352
CRYSTAL BEACH, TX 77650-2352
Phone number: 330-936-0142
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