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1801139480
TIMOTHY MRAZ
ANCHORAGE, AK
NPI
1801139480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK 981136)
Enumeration Date
2013-04-01
Last Update Date
2013-04-01
Business Address
-- TIMOTHY MRAZ
1746 TOKLAT ST
ANCHORAGE, AK 99508-3251
Phone number: 907-868-3965
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Mailing Address
-- TIMOTHY MRAZ
PO BOX 140423
ANCHORAGE, AK 99514-0423
Phone number:
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