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Individual

EVAN KUUIPO TUMBAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11312 KENAI SPUR HWY, SUITE 63, KENAI, AK 99611-7754
(907) 335-2008
(907) 335-4673
Mailing address
11312 KENAI SPUR HWY, SUITE 63, KENAI, AK 99611-7754
(907) 335-2008
(907) 335-4673

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
550871179
AK

Other

Enumeration date
05/27/2011
Last updated
05/27/2011
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