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1205186129
MARY ELLEN TAYLOR
ANCHORAGE, AK
NPI
1205186129
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Former Name
MARY ELLEN MOODY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: AK 991202)
Enumeration Date
2012-09-18
Last Update Date
2015-02-25
Business Address
Ms. MARY ELLEN TAYLOR LMT
3315 FAIRBANKS ST
ANCHORAGE, AK 99503-4145
Phone number: 541-844-9325
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Mailing Address
Ms. MARY ELLEN TAYLOR LMT
15201 A SNOW FLAKE DR
ANCHORAGE, AK 99516
Phone number: 541-844-9325
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