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Individual

DR. TAKE KOLISI NASERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4553 NUUULI RD., PAGO PAGO, AS 96799-4553
(684) 699-5118
(684) 699-5336
Mailing address
4553 NUUULI RD., PAGO PAGO, AS 96799-4553
(684) 699-5118
(684) 699-5336

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2028-C
AS

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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