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Individual

LILLIAN N KINEGAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
934 MAIN STREET, ST. GEORGE, AK 99591
(907) 859-2254
(907) 859-2252
Mailing address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
(907) 276-2700
(907) 222-4279

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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