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Individual

MS. ELLA MAY COOPER-WALDRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
MILE 126.8 STERLING HWY, NINILCHIK, AK 99639-0093
(907) 567-3666
Mailing address
PO BOX 39093, NINILCHIK, AK 99639-0093
(907) 567-3666

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1192
AK

Other

Enumeration date
12/23/2011
Last updated
12/23/2011
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