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Individual

MARY OWENGA GWAYI-CHORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1341 BIRCHWOOD ST, ANCHORAGE, AK 99508-2915
(907) 868-1288
(907) 868-1288
Mailing address
1341 BIRCHWOOD ST, ANCHORAGE, AK 99508-2915
(907) 868-1288
(907) 868-1288

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6990
AK
363A00000X
Physician Assistant
690
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD3922
AK
Enumeration date
02/13/2006
Last updated
01/06/2011
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