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Individual

LAURA KATHERINE ULLMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15765 KINGSLEY RD, NINILHCIK, AK 99639
(907) 567-3370
(907) 567-3310
Mailing address
PO BOX 39368, NINILCHIK, AK 99639-0368
(907) 567-3370
(907) 567-3310

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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