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Individual

LESLEY KARIN DE JARAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3380 C ST., STE 100, ANCHORAGE, AK 99503-3949
(907) 277-1440
Mailing address
172 MAIN ST, SAND POINT, AK 99661-0172
(907) 383-3151

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
32921
AK
363LF0000X
Family Nurse Practitioner
Primary
1231
AK

Other

Enumeration date
06/15/2011
Last updated
07/06/2012
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