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Individual

JEANETTE R KOOKESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 CHANNEL DR # 314, JUNEAU, AK 99801-7837
(907) 364-3584
(240) 218-0874
Mailing address
3100 CHANNEL DR # 314, JUNEAU, AK 99801-7837
(907) 364-3584
(240) 218-0874

Taxonomy

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

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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