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1003971037
KEITH POORBAUGH
WASILLA, AK
NPI
1003971037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1581)
Enumeration Date
2006-12-27
Last Update Date
2022-07-21
Business Address
KEITH POORBAUGH PT, ScD, OCS, FAAOMP
984 N MERIDIAN PL # A
WASILLA, AK 99654-7215
Phone number: 907-631-4029
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Mailing Address
KEITH POORBAUGH PT, ScD, OCS, FAAOMP
984 NORTH MERIDIAN PL A
WASILLA, AK 99654-7215
Phone number: 907-631-4029
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