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Organization

BICKNELL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROSCOE BICKNELL (PRESIDENT)
(907) 789-5727
Entity
Organization

Contact information

Practice address
2275 BRANDY LN, JUNEAU, AK 99801-8578
(907) 789-5727
(907) 789-2644
Mailing address
PO BOX 33517, JUNEAU, AK 99803-3517

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
153481
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EM0029
AK
Enumeration date
08/10/2011
Last updated
08/10/2011
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