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1003255480
EAGLE RIVER PAIN & WELLNESS, LLC
EAGLE RIVER, AK
NPI
1003255480
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Entity Type
Organization
Authorized Contact
JESSICA JOYCE SPAYD
Owner
907-622-4673
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AK 308947)
Enumeration Date
2013-06-19
Last Update Date
2014-06-20
Business Address
EAGLE RIVER PAIN & WELLNESS, LLC
16425 BROOKS LOOP
EAGLE RIVER, AK 99577-8027
Phone number: 907-622-4673
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Mailing Address
EAGLE RIVER PAIN & WELLNESS, LLC
16425 BROOKS LOOP
EAGLE RIVER, AK 99577-8027
Phone number: 907-622-4673
Copy
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