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1649912049
LANE D GAMBILL
WASILLA, AK
NPI
1649912049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
LANE D GAMBILL CTRS
1145 S CORKEY ST
WASILLA, AK 99654-7910
Phone number: 907-795-5907
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Mailing Address
LANE D GAMBILL CTRS
1145 S CORKEY ST
WASILLA, AK 99654-7910
Phone number: 907-795-5907
Copy