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Individual

JACQUELYN EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
308 G ST, ANCHORAGE, AK 99501-2135
(907) 360-0738
Mailing address
1920 EARLY VIEW DR, ANCHORAGE, AK 99504-2958
(907) 360-0738

Taxonomy

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

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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