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Individual

THERESA LYNANN SALZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PBT

Contact information

Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
961122
AK
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
07/21/2011
Last updated
01/21/2015
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