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1437315058
GEOFFREY JOHN MITTELSTEADT
JBER, AK
NPI
1437315058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CA 16381)
Enumeration Date
2008-08-04
Last Update Date
2022-10-14
Business Address
MR. GEOFFREY JOHN MITTELSTEADT ACUTE CARE NURSE PRA
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-580-8084
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Mailing Address
MR. GEOFFREY JOHN MITTELSTEADT ACUTE CARE NURSE PRA
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-580-8084
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