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Individual

FLORINE LOEITS-BANNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-4553
(907) 443-3240
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-4553
(907) 443-3240

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
AK
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/27/2020
Last updated
10/06/2020
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