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Individual

KERRIE L SPAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7362 W PARKS HWY # 834, WASILLA, AK 99623-9300
(907) 841-6400
Mailing address
7362 W PARKS HWY # 834, WASILLA, AK 99623-9300
(907) 841-6400

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/23/2025
Last updated
08/23/2025
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