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HISAKO ITO NCTMB/MPL

>> Homeopath >> Other Service Providers

Registrant NPI Number: 1689827842

Individual Registrant:
 HISAKO  ITO NCTMB/MPL
Gender: F
Sole Proprietor

Location and contact information for practice:
946 COWLES ST STE 101  FAIRBANKS, AK 99701-4381 US
Tel: 907-479-4263  Fax: 907-457-2163

Contact information for business:
946 COWLES ST STE 101  FAIRBANKS, AK 99701-4381 US
Tel: 907-479-4263  Fax: 907-457-2163

Registration Information:
NPI: 1689827842
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y175L00000XOther Service Providers
Homeopath
AK2008-1002

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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