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1104360452
ANTHONY JIMENEZ
ANCHORAGE, AK
NPI
1104360452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AK 101179)
Enumeration Date
2016-12-06
Last Update Date
2017-08-24
Business Address
ANTHONY JIMENEZ
8401 BERRY PATCH DR
ANCHORAGE, AK 99502-7265
Phone number: 907-222-1028
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Mailing Address
ANTHONY JIMENEZ
8401 BERRY PATCH DR
ANCHORAGE, AK 99502-7265
Phone number:
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