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Individual

KATELYNN MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5339
(907) 726-5366
Mailing address
PO BOX 670911, CHUGIAK, AK 99567-0911
(757) 641-8942

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AK

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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