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Individual

ELIZABETH POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
103 FRAM STREET, PETERSBURG, AK 99833
(907) 772-4291
Mailing address
PO BOX 589, PETERSBURG, AK 99833-0589
(907) 772-4291

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
129230
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018249900
FL
Enumeration date
07/12/2016
Last updated
09/14/2018
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