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Individual

JOSEPHINE SELERIANA BALGENORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4941 ALPHA CIR, ANCHORAGE, AK 99516-2253
(907) 727-4723
(907) 332-6260
Mailing address
4941 ALPHA CIR, ANCHORAGE, AK 99516-2253
(907) 727-4723
(907) 332-6260

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100788
AK

Other

Enumeration date
07/23/2010
Last updated
07/23/2010
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