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1144086083
STAR ELLEN THEODORE
KENAI, AK
NPI
1144086083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: AK 1712359)
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
STAR ELLEN THEODORE
130 S WILLOW ST STE 9
KENAI, AK 99611-9107
Phone number: 907-782-8377
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Mailing Address
STAR ELLEN THEODORE
130 S WILLOW ST STE 9
KENAI, AK 99611-9107
Phone number: 907-782-8377
Copy
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