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Individual

ANGELA MALCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4100 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5222
(907) 550-6110
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
272
AK

Other

Enumeration date
03/23/2007
Last updated
12/06/2007
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