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1306167952
LAURA IDE
ANCHORAGE, AK
NPI
1306167952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AK 5755)
Enumeration Date
2010-06-17
Last Update Date
2010-06-17
Business Address
-- LAURA IDE RN
3760 PIPER ST LL139
ANCHORAGE, AK 99508-4665
Phone number: 907-563-5006
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Mailing Address
-- LAURA IDE RN
PO BOX 196276
ANCHORAGE, AK 99519-6276
Phone number: 907-212-6522
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