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Individual

CASSANDRA JEAN BROCKETT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
HEALTH SERVICES TECH

Contact information

Practice address
709 W 9TH ST, JUNEAU, AK 99801-1807
(907) 463-2140
Mailing address
709 W 9TH ST, JUNEAU, AK 99801-1807
(907) 463-2140

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
12/23/2005
Last updated
07/08/2007
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