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Individual

KATHERINE BALABAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1350 W. NORTHERN LIGHTS BLVD, STE C, ANCHORAGE, AK 99503
(907) 376-8020
Mailing address
1350 W. NORTHERN LIGHTS BLVD, STE C, ANCHORAGE, AK 99503
(907) 376-8020

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101708
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7253446
AKDL
AK
Enumeration date
11/19/2020
Last updated
11/19/2020
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