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Individual

KUKAPUOUHAA SURL GUNDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3750 E COUNTRY FIELD CIR STE A, WASILLA, AK 99654-6659
(907) 376-7334
(907) 373-1429
Mailing address
3750 E COUNTRY FIELD CIR STE A, WASILLA, AK 99654-6659
(907) 376-7334
(907) 373-1429

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
139644
AK
225700000X
Massage Therapist
MAT-15055
HI

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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