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Individual

SAGE COLTER LINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
10815 KENAI SPUR HWY, KENAI, AK 99611-7848
(907) 283-5414
Mailing address
PO BOX 183, KASILOF, AK 99610-0183

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
111014
AK

Other

Enumeration date
01/29/2018
Last updated
01/29/2018
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