Organization
AVALON THERAPEUTIC RIDING STABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANNE PATRICIA BLUST (CEO)
(907) 500-2244
Entity
Organization
Contact information
Practice address
11880 MENDENHALL LOOP RD, JUNEAU, AK 99801-8662
(907) 500-2244
Mailing address
PO BOX 33053, JUNEAU, AK 99803-3053
(907) 500-2244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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