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1023253705
ALISA NIEHUSER
JBER, AK
NPI
1023253705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY60423677)
Enumeration Date
2008-12-09
Last Update Date
2019-11-05
Business Address
ALISA NIEHUSER
786 D STREET
JBER, AK 99505
Phone number: 907-384-0405
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Mailing Address
ALISA NIEHUSER
1060 GAFFNEY RD STOP 7440
FT WAINWRIGHT, AK 99703-5007
Phone number: 907-361-5603
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