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1124492814
VANESSA H MCTAGUE
FAIRBANKS, AK
NPI
1124492814
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Other Name
VANESSA HERNANDEZ MEZA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 103781)
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
Mrs. VANESSA H MCTAGUE
398 HAMILTON AVE
FAIRBANKS, AK 99701-3537
Phone number: 907-374-4911
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Mailing Address
Mrs. VANESSA H MCTAGUE
398 HAMILTON AVE
FAIRBANKS, AK 99701-3537
Phone number: 907-374-4911
Copy
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