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Individual

MR. RAFE MUMFORD

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
9200 GEE ST, JUNEAU, AK 99801-8824
(907) 796-3672
Mailing address
U.S. COAST GUARD, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
12/16/2005
Last updated
07/08/2007
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