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Individual

BRENDA MAE JEDLICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2008 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4101
(907) 274-2673
Mailing address
2008 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4101
(907) 646-2266

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
108329
AK

Other

Enumeration date
10/02/2018
Last updated
02/05/2023
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