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Individual

MS. ANETTE M AVANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4107 HOHE ST, HOMER, AK 99603-7008
(907) 235-0687
(907) 235-4017
Mailing address
4107 HOHE ST, HOMER, AK 99603-7008
(907) 235-0687
(907) 235-4017

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
167328
AK

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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