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1619548948
SHELANA RENEE MALONE
WASILLA, AK
NPI
1619548948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
(Licence: AK 101452)
Enumeration Date
2021-07-07
Last Update Date
2021-09-14
Business Address
SHELANA RENEE MALONE
4151 S MEADOW DR
WASILLA, AK 99623-0465
Phone number: 907-602-0371
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Mailing Address
SHELANA RENEE MALONE
PO BOX 879040
WASILLA, AK 99687-8900
Phone number: 907-602-0371
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