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Individual

BRANKO STURM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
417 E 11TH AVE, ANCHORAGE, AK 99501-4506
(907) 258-1775
Mailing address
PO BOX 232723, ANCHORAGE, AK 99523-2723
(907) 336-1278

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
160
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RL 0780
AK
05
RL 07801
AK
Enumeration date
08/23/2007
Last updated
08/23/2007
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