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1528477494
BRENT LANNEN
ANCHORAGE, AK
NPI
1528477494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- BRENT LANNEN COTA
9100 CENTENNIAL CIR
ANCHORAGE, AK 99504-1480
Phone number: 907-333-8100
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Mailing Address
-- BRENT LANNEN COTA
25117 SW PARKWAY AVE STE. D
WILSONVILLE, OR 97070-9697
Phone number:
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