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Grant Krueger

Technician, Attendant Care Provider in Anchorage, AK. Individual provider (NPI-1).

NPI number1164065744
StatusActive
Last updated in NPPESOct 25, 2019

Details

NPI
1164065744
Entity type
Individual (NPI-1)
Name
Grant Krueger
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 25, 2019
Last updated
Oct 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

325 E 3rd Ave
Anchorage, AK 99501-2647

Phone 907-744-2051

Mailing address

325 E 3rd Ave
Anchorage, AK 99501-2647

Phone 907-744-2051

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