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Individual

MRS. SONJA MARIE FOUTTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
10576 KENAI SPUR HWY, KENAI, AK 99611-7811
(907) 283-6360
Mailing address
10576 KENAI SPUR HWY, KENAI, AK 99611-7811
(907) 283-6360

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1182
AK

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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