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Individual

MRS. FROUKJE EVELIEN LEEGSTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12128 CURTIS CIR, EAGLE RIVER, AK 99577-7542
(907) 717-4019
Mailing address
PO BOX 770389, EAGLE RIVER, AK 99577-0389
(907) 717-4019

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
690764
AK

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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