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Individual

FRANCES DIANA WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19697 E. PASSTHEBAIT AVE, TALKEETNA, AK 99688-0513
(907) 841-2077
(907) 495-3727
Mailing address
PO BOX 513, WILLOW, AK 99688-0513
(907) 841-2077
(907) 495-3727

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
948890
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
948890
ALASKA BUSINESS LICENSE
AK
05
PENDING
AK
Enumeration date
03/11/2011
Last updated
03/11/2011
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