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Individual

MR. MICHEL MOANDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3948 MOUNTAIN VIEW DR, ANCHORAGE, AK 99508-1511
(907) 258-5100
Mailing address
PO BOX 200468, ANCHORAGE, AK 99520-0468
(907) 258-5100

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CMG 040
AK

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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