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1124634233
MACKENA ELSIE JOHNSON
ANCHORAGE, AK
NPI
1124634233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 160645)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
MACKENA ELSIE JOHNSON
SPORTS & SPINAL INJURY CLINIC 6634 LAKE OTIS PKWY #A
ANCHORAGE, AK 99507
Phone number: 907-522-3511
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Mailing Address
MACKENA ELSIE JOHNSON
17031 VANOVER CIR
EAGLE RIVER, AK 99577-8130
Phone number: 907-980-1812
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