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Individual

MR. JOHN B. HENLEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5594 AISEK STREET, JUNEAU, AK 99801
(907) 780-3037
(907) 780-3053
Mailing address
5597 AISEK STREET, JUNEAU, AK 99801
(907) 780-3037
(907) 780-3053

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
AK

Other

Enumeration date
10/29/2019
Last updated
10/29/2019
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