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1417388570
THERESA ESQUIVEL-WADE
JBER, AK
NPI
1417388570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 2654)
Enumeration Date
2013-11-27
Last Update Date
2013-11-27
Business Address
-- THERESA ESQUIVEL-WADE
1341 JUNEAU AVE UNIT B
JBER, AK 99505-1236
Phone number: 254-245-5792
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Mailing Address
-- THERESA ESQUIVEL-WADE
1341 JUNEAU AVE UNIT B
JBER, AK 99505-1236
Phone number: 254-245-5792
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