Individual
MISS JUSTINE RAE KOSBRUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 MAIN STREET, PERRYVILLE, AK 99648
(907) 853-4025
Mailing address
PO BOX 88, PERRYVILLE, AK 99648-0088
(907) 853-4025
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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