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1770067985
KATRINA SAN JUAN
WASILLA, AK
NPI
1770067985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ F09180953)
Enumeration Date
2018-09-24
Last Update Date
2023-05-26
Business Address
KATRINA SAN JUAN APN
950 E BOGARD RD
WASILLA, AK 99654-7184
Phone number: 907-352-2880
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Mailing Address
KATRINA SAN JUAN APN
950 E BOGARD RD
WASILLA, AK 99654-7184
Phone number: 307-352-2880
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