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Individual

ROBERT APPLEBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4535
Mailing address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780348763-11.16.24
QAP
AK
Enumeration date
10/26/2021
Last updated
12/28/2021
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