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DR. TAKE KOLISI NASERI

>> General Acute Care Hospital >> Hospitals

Registrant NPI Number: 1295913895

Individual Registrant:
DR. TAKE KOLISI NASERI 
Gender: M
Sole Proprietor

Location and contact information for practice:
4553 NUUULI RD.  PAGO PAGO, AS 96799-4553 US
Tel: 684-699-5118  Fax: 684-699-5336

Contact information for business:
4553 NUUULI RD.  PAGO PAGO, AS 96799-4553 US
Tel: 684-699-5118  Fax: 684-699-5336

Registration Information:
NPI: 1295913895
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282N00000XHospitals
General Acute Care Hospital
AS2028-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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