Individual
MR. JERRY KOWCHEE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 W 5TH AVENUE, NOME, AK 99762
(907) 443-3290
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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