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Individual

MRS. ANGIE MARIE TOLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4050 LAKE OTIS PKWY, 110, ANCHORAGE, AK 99508-5223
(907) 770-6222
Mailing address
10340 KASILOF BLVD, ANCHORAGE, AK 99507-6427
(907) 360-1665

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
26003
AK

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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