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1194800102
EMILY ANN VAN GORP
FAIRBANKS, AK
NPI
1194800102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1790)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- EMILY ANN VAN GORP PT
751 OLD RICHARDSON HWY # 202
FAIRBANKS, AK 99701
Phone number: 907-455-4401
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Mailing Address
-- EMILY ANN VAN GORP PT
FILE 50469
LOS ANGELES, CA 90074-0469
Phone number: 530-778-0200
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