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Individual

SHAUNA NICOLE MOBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1000 E DIMOND BLVD STE 202, ANCHORAGE, AK 99515-2029
(907) 349-4212
(907) 344-3381
Mailing address
2802 BRITTANY DR, ANCHORAGE, AK 99504-3980
(907) 223-4621

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
141922
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141922
ALASKA MASSAGE THERAPY LICENSE
AK
Enumeration date
05/30/2019
Last updated
06/11/2019
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