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1023350287
PA M JAGNE
ANCHORAGE, AK
NPI
1023350287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AK 100821)
Enumeration Date
2013-03-25
Last Update Date
2013-03-25
Business Address
-- PA M JAGNE
1006 W 71ST AVE
ANCHORAGE, AK 99518-2118
Phone number: 907-764-9956
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Mailing Address
-- PA M JAGNE
12441 BRANDON ST
ANCHORAGE, AK 99515-3589
Phone number: 907-764-9956
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