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1851440978
SOUTHCENTRAL FOUNDATION
ANCHORAGE, AK
NPI
1851440978
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Entity Type
Organization
Authorized Contact
RONALD LEE OLSON
VP Finance
907-729-4939
Organization Subpart ?
No
Primary Taxonomy
261QH0700X Clinic/Center Hearing and Speech
Enumeration Date
2007-01-09
Last Update Date
2016-01-28
Business Address
SOUTHCENTRAL FOUNDATION
6901 E TUDOR RD
ANCHORAGE, AK 99507-1241
Phone number: 907-729-4955
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Mailing Address
SOUTHCENTRAL FOUNDATION
4501 DIPLOMACY DR ATTN: PROVIDER ENROLLMENT
ANCHORAGE, AK 99508-5919
Phone number: 907-729-4955
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