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Individual

INDIGO JICHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
172 RED COVE ROAD, SAND POINT, AK 99661
(907) 383-3151
Mailing address
PO BOX 1115, KOTZEBUE, AK 99752-1115

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114103
AK

Other

Enumeration date
05/20/2014
Last updated
10/06/2022
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