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1487238721
SHANE OMER
PALMER, AK
NPI
1487238721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 194449)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2021-05-12
Last Update Date
2022-11-16
Business Address
SHANE OMER DPT
304 W EVERGREEN AVE STE 101
PALMER, AK 99645-6970
Phone number: 907-745-8686
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Mailing Address
SHANE OMER DPT
512 GOLD KEY LN
PALMER, AK 99645-6178
Phone number: 907-350-6907
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