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Individual

JACLYN BENNINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6927 OLD SEWARD HWY STE 100, ANCHORAGE, AK 99518-2283
(907) 345-0050
Mailing address
18266 HAMPTON CT, LIVONIA, MI 48152-2826

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
133490
AK

Other

Enumeration date
02/10/2019
Last updated
02/10/2019
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