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Individual

AMANDA VOGUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
16410 BROOKS LOOP STE 5, EAGLE RIVER, AK 99577-8074
(907) 230-0671
Mailing address
18777 S BIRCHWOOD LOOP RD, CHUGIAK, AK 99567-6605
(907) 230-0671

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109604
AK

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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