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1568792141
KATHLEEN NUSSBAUM
KODIAK, AK
NPI
1568792141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AK 1288)
Enumeration Date
2010-01-05
Last Update Date
2015-04-23
Business Address
-- KATHLEEN NUSSBAUM ANP
1915 REZANOF DR E
KODIAK, AK 99615-6602
Phone number: 907-486-3281
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Mailing Address
-- KATHLEEN NUSSBAUM ANP
1915 REZANOF DR E
KODIAK, AK 99615-6602
Phone number: 907-486-3281
Copy
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