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Individual

JACLYN ROE SCANLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3190 E MERIDIAN PARK LOOP STE 206, WASILLA, AK 99654-7422
(907) 373-9462
Mailing address
3947 QUINCY DR SW, BEMIDJI, MN 56601-9818
(182) 791-3753

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AK

Other

Enumeration date
08/06/2021
Last updated
08/06/2021
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