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1033776414
LONNIE RIDGEWAY
ANCHORAGE, AK
NPI
1033776414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
LONNIE RIDGEWAY
4320 DIPLOMACY DR
ANCHORAGE, AK 99508-5925
Phone number: 907-729-0000
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Mailing Address
LONNIE RIDGEWAY
7033 E TUDOR RD
ANCHORAGE, AK 99507
Phone number: 907-729-0000
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