Individual
EMILY BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 E DUNBAR DR STE B, WASILLA, AK 99654-7758
(907) 376-6930
Mailing address
900 E ONYX CIR, WASILLA, AK 99654-3422
(907) 414-9034
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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