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Individual

DOLORES WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3260 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 796-8498
Mailing address
PO BOX 22401, JUNEAU, AK 99802-2401

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
10/16/2019
Last updated
10/16/2019
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