Individual
JIMMY BAUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6002 DEBARR RD, ANCHORAGE, AK 99504-2312
(907) 717-8133
Mailing address
6002 DEBARR RD, ANCHORAGE, AK 99504-2312
(907) 717-8133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5849
AK
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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