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Individual

ASHLEY LYNN BURGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
77 ANTOSKI RD, GALENA, AK 99741
(907) 656-1366
Mailing address
PO BOX 126, GALENA, AK 99741-0126
(907) 656-1656

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106115
AK

Other

Enumeration date
12/29/2015
Last updated
12/29/2015
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