Provider First Line Business Practice Location Address:
1616 OKPIK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UQTIAGVIK
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-888-0057
Provider Business Practice Location Address Fax Number:
907-479-6410
Provider Enumeration Date:
12/29/2023