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1144669052
JESSICA REVELLS
FAIRBANKS, AK
NPI
1144669052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AK 2019)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
-- JESSICA REVELLS COTA/L
734 MANCHESTER LOOP
FAIRBANKS, AK 99712-1120
Phone number: 907-388-4426
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Mailing Address
-- JESSICA REVELLS COTA/L
734 MANCHESTER LOOP
FAIRBANKS, AK 99712-1120
Phone number: 907-388-4426
Copy
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