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CORA SUE BOSSHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3236
Mailing address
4000 AMBASSADOR DR, C-CHAP, ANCHORAGE, AK 99508-5909
(907) 729-3236

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
397
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020311
AK
Enumeration date
08/01/2006
Last updated
07/25/2014
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