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REBECCA MOOTS RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1255624128

Individual Registrant:
 REBECCA  MOOTS RN
Gender: F
Sole Proprietor

Location and contact information for practice:
13004 KLAWOCK-HOLLIS HWY  KLAWOCK, AK 99925 US
Tel: 907-755-4800  Fax: --

Contact information for business:
PO BOX 69  KLAWOCK, AK 99925-0069 US
Tel: --  Fax: --

Registration Information:
NPI: 1255624128
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
AK31175

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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