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1407342843
ELIJAH GOOD-FARM
WASILLA, AK
NPI
1407342843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 116274)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
ELIJAH GOOD-FARM
436 N MAIN ST
WASILLA, AK 99654-7018
Phone number: 907-376-8020
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Mailing Address
ELIJAH GOOD-FARM
436 N MAIN ST
WASILLA, AK 99654-7018
Phone number: 907-376-8020
Copy
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