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1699044941
DEBORAH IVANOFF
NOME, AK
NPI
1699044941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: AK 06-029-EFDHA1)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
-- DEBORAH IVANOFF
306 WEST 5TH AVE
NOME, AK 99762
Phone number: 907-443-3309
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Mailing Address
-- DEBORAH IVANOFF
PO BOX 966
NOME, AK 99762
Phone number: 907-443-3309
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