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Individual

NORBERT MB MENGFON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
741 IRWIN ST APT 2, ANCHORAGE, AK 99508-1252
(585) 281-9865
Mailing address
741 IRWIN ST APT 2, ANCHORAGE, AK 99508-1252
(585) 281-9865

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7753213
ID
AK
Enumeration date
02/11/2019
Last updated
02/11/2019
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