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Individual

DENZEL MANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
436 5TH AVENUE, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752-9975
(757) 254-4481
Mailing address
PO BOX 649, KOTZEBUE, AK 99752-0649
(757) 254-4481

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209522
VA

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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