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Individual

AUTUMN PROMISE LOKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.D.M. , R.N.

Contact information

Practice address
324 LYNNWOOD DR # C, ANCHORAGE, AK 99518-1850
(907) 350-0778
Mailing address
324 LYNNWOOD DR # C, ANCHORAGE, AK 99518-1850
(907) 350-0778

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR R 29189
AK
176B00000X
Midwife
Primary
MID M 68
AK

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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