Zina Bodunov

NPI 1053742288 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1053742288
Gender Female
Enumeration Date 12/13/2013
Last Updated 12/13/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
4921 S BINNACLE AVE
WASILLA AK, 99654, US
Phone (907) 980-2056
Fax
Business Location
PO BOX 879341
WASILLA AK, 99687-9341, US
Phone (907) 980-2056
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Alaska
License Number 6970
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According to our database, Zina Bodunov NPI is 1053742288, taxonomy code is 164W00000X and license number is 6970, license state is located at Alaska. Zina Bodunov physically located at 4921 S Binnacle Ave, Wasilla AK, 99654. NPI Number Zina Bodunov has the Individual type.

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1053742288 NPI number is provided on an as is basis without warranty of any kind. 1053742288 is maintained by the National Plan & Provider Enumeration System. The contents of Zina Bodunov are for informational purposes only.