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1023622370
ASHLEY SUZANNE GRANATH
WASILLA, AK
NPI
1023622370
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Former Name
ASHLEY SUZANNE JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AK 166016)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
ASHLEY SUZANNE GRANATH DPT
984 N MERIDIAN PL # A
WASILLA, AK 99654-7215
Phone number: 907-631-4029
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Mailing Address
ASHLEY SUZANNE GRANATH DPT
525 W MONTANA DR
PALMER, AK 99645-7030
Phone number: 907-982-1073
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