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KRISTINE DIANNE LUBATON POLINTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3841 PIPER ST STE T100, ANCHORAGE, AK 99508-4674
(907) 561-3211
Mailing address
PO BOX 200149, ANCHORAGE, AK 99520-0149
(907) 561-3211

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
124731
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1673981
AK
Enumeration date
08/02/2017
Last updated
01/29/2019
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