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MICHAEL SMALLEY LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1609298421

Individual Registrant:
 MICHAEL  SMALLEY LPN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1296 AGVIK STREET  BARROW, AK 99723-0029 US
Tel: 907-852-9203  Fax: 907-852-6616

Contact information for business:
PO BOX 29  BARROW, AK 99723-0029 US
Tel: 907-852-9203  Fax: 907-852-6616

Registration Information:
NPI: 1609298421
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
AK6696

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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