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1609561463
MADELEINE MAE HUAN PRONOVOST
ANCHORAGE, AK
NPI
1609561463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 205138)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
MADELEINE MAE HUAN PRONOVOST PT, DPT
235 E 9TH AVE
ANCHORAGE, AK 99501-7501
Phone number: 907-230-1952
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Mailing Address
MADELEINE MAE HUAN PRONOVOST PT, DPT
740 WASHINGTON ST
BROOKLINE, MA 02446-2109
Phone number: 617-755-9058
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