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Individual

SHAWN RENNEA STRONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3700 PIPER ST, ANCHORAGE, AK 99508-4665
(907) 269-7100
Mailing address
PO BOX 13341, TRAPPER CREEK, AK 99683-0341
(907) 227-9040

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26318
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6853290
ALASKA DRIVERS LICENSE
AK
Enumeration date
04/15/2019
Last updated
04/15/2019
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