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Individual

MR. PETER K NDENDEROH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5419 E 42ND AVE, ANCHORAGE, AK 99508-5711
(907) 929-0448
Mailing address
5419 E 42ND AVE, ANCHORAGE, AK 99508-5711
(907) 929-0448

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
10/16/2007
Last updated
10/16/2007
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