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1265470413
JEFFREY AUGUST LEPAGE
WASILLA, AK
NPI
1265470413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: AK 1512)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- JEFFREY AUGUST LEPAGE P.T., C.W.S.
6701 W. BLONDELL ST.
WASILLA, AK 99654
Phone number: 907-357-9755
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Mailing Address
-- JEFFREY AUGUST LEPAGE P.T., C.W.S.
PO BOX 298658
WASILLA, AK 99629-8658
Phone number: 907-357-9755
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