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Individual

DR. ANTHONY SEAN ODNEY-PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1301 S SEWARD MERIDIAN PKWY STE G, WASILLA, AK 99654-8369
(907) 414-2442
Mailing address
1301 S SEWARD MERIDIAN PKWY STE G, WASILLA, AK 99654-8369
(907) 414-2442

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
142033
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142033
STATE BOARD
AK
Enumeration date
02/05/2019
Last updated
02/05/2019
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