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Individual

MRS. SIVIENGPHONE O'QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BACHELOR OF SCIENCE

Contact information

Practice address
306 WEST 5TH AVENUE, NOME, AK 99762
(907) 443-3311
(907) 443-5915
Mailing address
306 WEST 5TH AVENUE, NOME, AK 99762
(907) 443-3311
(907) 443-5915

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/11/2008
Last updated
01/11/2008
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