THEODORE YNGVE KORSGREN

FAIRBANKS, AK
NPI1497942585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  5364)
Enumeration Date2007-10-02
Last Update Date2012-12-03
Business Address
MR. THEODORE YNGVE KORSGREN LPN
1717 W. COWLES ST.
FAIRBANKS, AK 99701-5903
Phone number: 907-451-6682
Mailing Address
MR. THEODORE YNGVE KORSGREN LPN
1717 W. COWLES ST.
FAIRBANKS, AK 99701-5903
Phone number: 907-451-6682
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