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Individual

DR. WAYNE ANTHONY CISSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1830 E PARKS HWY, SUITE A120, WASILLA, AK 99654-7378
(907) 373-5054
(907) 373-5058
Mailing address
1830 E PARKS HWY, SUITE A120, WASILLA, AK 99654-7378
(907) 373-5054
(907) 373-5058

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
544
AK
111N00000X
Chiropractor
Primary
DC-31505
CA

Other

Enumeration date
03/24/2010
Last updated
11/18/2011
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