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Individual

JACOB MALOUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3111 DENALI ST STE 102, ANCHORAGE, AK 99503-4099
(907) 360-4275
Mailing address
9430 BIRCH RD, ANCHORAGE, AK 99507-6628
(907) 360-4275

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
24505
AK
163WX0800X
Orthopedic Registered Nurse
Primary
24505
AK

Other

Enumeration date
07/01/2024
Last updated
07/01/2024
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