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Individual

MS. RITA AMELIA GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
818 LAKE STREET, KOTZEBUE, AK 99752
(907) 442-7035
(907) 442-4375
Mailing address
PO BOX 1147, KOTZEBUE, AK 99752-1147
(907) 412-0498
(907) 442-4375

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AK

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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