Individual
MR. KASSIM ABDIKADIR KASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3604 OREGON DR APT 2, ANCHORAGE, AK 99517-2639
(907) 306-1061
Mailing address
3604 OREGON DR APT 2, ANCHORAGE, AK 99517-2639
(907) 306-1061
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
950459
AK
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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