RYAN LAINE

PALMER, AK
NPI1588057400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AK  208457)
Enumeration Date2015-03-17
Last Update Date2023-11-15
Business Address
RYAN LAINE
11350 E PALMER WASILLA HWY
PALMER, AK 99645-7425
Phone number: 530-680-3010
Mailing Address
RYAN LAINE
780 N LUKE ST
WASILLA, AK 99654-6651
Phone number: 530-680-3010
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