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1568580165
ELLEN L. KANE
WASILLA, AK
NPI
1568580165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK CM7686)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- ELLEN L. KANE
2180 YUKON CIR.
WASILLA, AK 99654-9702
Phone number: 907-357-0458
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Mailing Address
-- ELLEN L. KANE
PO BOX 870458
WASILLA, AK 99687-0458
Phone number: 907-357-0458
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