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Individual

TATIANA ANTIONETTE BARRACLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 POLOVENIA TURNPIKE ROAD, ST. PAUL, AK 99660
(907) 546-8300
(907) 546-8372
Mailing address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
(907) 276-2700
(907) 222-4279

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
09/14/2010
Last updated
12/06/2011
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