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Individual

SOPHIA JUNE YOUNG CORNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8701 RUNAMUCK PL, ANCHORAGE, AK 99502-5630
(907) 229-0465
Mailing address
8701 RUNAMUCK PL, ANCHORAGE, AK 99502-5630
(907) 229-0465

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121818
AK

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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