Individual
GODWIN A ABAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4543 LAKE OTIS PKWY APT 110, ANCHORAGE, AK 99507-1443
(907) 764-1972
Mailing address
4543 LAKE OTIS PKWY APT 110, ANCHORAGE, AK 99507-1443
(907) 764-1972
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AK
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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