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Individual

ISATOU JAHATEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2211 W 47TH AVE, ANCHORAGE, AK 99517-3183
(907) 360-2199
(907) 677-6327
Mailing address
2211 W 47TH AVE, ANCHORAGE, AK 99517-3183
(907) 360-2199

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
944556
AK

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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