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Organization
C CARE MEDICAL CENTER LLC
Active
Organization
C CARE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA DE LEON (OWNER)
(907) 563-5002
Entity
Organization
Contact information
Practice address
2110 E NORTHERN LIGHTS BLVD, SUITE 101, ANCHORAGE, AK 99508-4154
(907) 563-5002
Mailing address
2110 E NORTHERN LIGHTS BLVD, SUITE 101, ANCHORAGE, AK 99508-4154
(907) 563-5002
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
918565
AK
363AM0700X
Medical Physician Assistant
918565
AK
363LF0000X
Family Nurse Practitioner
918565
AK
Other
Enumeration date
08/19/2008
Last updated
07/24/2012
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