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Individual

CAROLYN JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2975 MILL BAY RD STE A, KODIAK, AK 99615-7831
(907) 512-0809
(907) 512-0828
Mailing address
1150 S COLONY WAY, STE 3, PMB 226, PALMER, AK 99645
(907) 512-0809
(907) 512-0828

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
122633
AK

Other

Enumeration date
07/14/2017
Last updated
07/14/2017
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