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1659996486
TRISTAN SHEA VANDELAC
WASILLA, AK
NPI
1659996486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
TRISTAN SHEA VANDELAC
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-357-0890
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Mailing Address
TRISTAN SHEA VANDELAC
PO BOX 873482
WASILLA, AK 99687-3482
Phone number: 907-414-9668
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