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1417434150
SHANNON L MCKENZIE
ANCHORAGE, AK
NPI
1417434150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: AK 1063221)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
Mr. SHANNON L MCKENZIE
3913 LYNN DR
ANCHORAGE, AK 99508-5745
Phone number: 907-336-0080
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Mailing Address
Mr. SHANNON L MCKENZIE
3913 LYNN DR
ANCHORAGE, AK 99508-5745
Phone number: 907-336-0080
Copy
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