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Individual

ROBERT WILLIAM MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
44661 STERLING HWY STE A, SOLDOTNA, AK 99669-7900
(907) 929-5826
Mailing address
44661 STERLING HWY STE A, SOLDOTNA, AK 99669-7900
(907) 929-5826

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1712359
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1712359
AK
Enumeration date
11/09/2022
Last updated
11/09/2022
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