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1821490301
ADAM R. CORNELIUSSEN
ANCHORAGE, AK
NPI
1821490301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AK 104245)
Enumeration Date
2014-09-16
Last Update Date
2016-08-16
Business Address
Mr. ADAM R. CORNELIUSSEN PA-C
3801 LAKE OTIS PKWY SUITE 300
ANCHORAGE, AK 99508-5234
Phone number: 907-562-2277
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Mailing Address
Mr. ADAM R. CORNELIUSSEN PA-C
3801 LAKE OTIS PKWY SUITE 300
ANCHORAGE, AK 99508-5234
Phone number: 907-562-2277
Copy
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