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Individual

TAMARA LEE LANMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
771 BADGER RD STE 205, NORTH POLE, AK 99705-5710
(907) 371-8244
Mailing address
771 BADGER RD STE 205, NORTH POLE, AK 99705-5710
(907) 371-8244

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
191954
AK

Other

Enumeration date
05/11/2022
Last updated
06/03/2022
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