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1609051986
KODIAK ISLAND MEDICAL ASSOCIATES LLC
KODIAK, AK
NPI
1609051986
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Entity Type
Organization
Authorized Contact
MARK E WITHROW
Owner Md
907-486-6065
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2008-01-04
Last Update Date
2008-01-04
Business Address
KODIAK ISLAND MEDICAL ASSOCIATES LLC
1818 E REZANOF DR
KODIAK, AK 99615
Phone number: 907-486-6065
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Mailing Address
KODIAK ISLAND MEDICAL ASSOCIATES LLC
1818 E REZANOF DR
KODIAK, AK 99615
Phone number: 907-486-6065
Copy
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