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1871707497
LORRAINE J NYCKLEMOE
JUNEAU, AK
NPI
1871707497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK CM49411)
Enumeration Date
2007-05-10
Last Update Date
2007-07-09
Business Address
-- LORRAINE J NYCKLEMOE
213 THIRD STREET
JUNEAU, AK 99801
Phone number: 907-586-8228
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Mailing Address
-- LORRAINE J NYCKLEMOE
213 THIRD STREET
JUNEAU, AK 99801
Phone number: 907-586-8228
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