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MR. MARVIN J. STICKWAN RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1962686022

Individual Registrant:
MR. MARVIN J. STICKWAN RN
Gender: M
Sole Proprietor

Location and contact information for practice:
7300 KLAWOCK-HOLLIS HWY.  KLAWOCK, AK 99925 US
Tel: 907-755-4800  Fax: --

Contact information for business:
713 CHIEF RICHARD CARL SR. DRIVE  CRAIG, AK 99921 US
Tel: 907-826-2628  Fax: --

Registration Information:
NPI: 1962686022
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
AK27807

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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