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1336113943
SALLIE W REDISKE
HOMER, AK
NPI
1336113943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1134)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
-- SALLIE W REDISKE MPT
4141 PENNOCK ST
HOMER, AK 99603-7223
Phone number: 907-235-3410
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Mailing Address
-- SALLIE W REDISKE MPT
4141 PENNOCK ST
HOMER, AK 99603-7223
Phone number: 907-235-3410
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