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1811263692
MANDI R NISENBAUM
NOME, AK
NPI
1811263692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK 4045027)
Enumeration Date
2012-03-27
Last Update Date
2012-03-27
Business Address
-- MANDI R NISENBAUM
306 WEST 5TH AVE
NOME, AK 99762
Phone number: 907-443-3311
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Mailing Address
-- MANDI R NISENBAUM
PO BOX 966
NOME, AK 99762
Phone number: 907-443-3311
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