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1396413647
SAMUEL ALEXANDER ISLAS
JBER, AK
NPI
1396413647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT61274559)
Enumeration Date
2021-09-01
Last Update Date
2023-10-25
Business Address
SAMUEL ALEXANDER ISLAS OT
673 MDG 5955 ZEAMER AVE
JBER, AK 99506
Phone number: 907-580-1702
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Mailing Address
SAMUEL ALEXANDER ISLAS OT
673 MDG 5955 ZEAMER AVE
JBER, AK 99506
Phone number: 907-580-1702
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