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1134696156
SHONNA WHEELER
KING COVE, AK
NPI
1134696156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
125J00000X Dental Therapist
(Licence: AK 18150DHAT)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
SHONNA WHEELER
100 SLOCUM DRIVE
KING COVE, AK 99612
Phone number: 907-497-2311
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Mailing Address
SHONNA WHEELER
3380 C ST STE 100
ANCHORAGE, AK 99503-3949
Phone number: 907-277-1440
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