Blynn S Iyatunguk
Counselor in Nome, AK. Individual provider (NPI-1).
NPI number1124371968
StatusActive
Last updated in NPPESNov 1, 2012
Details
- NPI
- 1124371968
- Entity type
- Individual (NPI-1)
- Name
- Blynn S Iyatunguk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2012
- Last updated
- Nov 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
306 West 5th AvenueNome, AK 99762
Phone 907-443-3344 · Fax 907-443-5915
Mailing address
306 West 5th AvenueNome, AK 99762
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All 21 Counselor providers in Nome · All 386 providers in Nome
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