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1669035903
STACE LEE ELIZABETH MOORE
WASILLA, AK
NPI
1669035903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 143308)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
Miss STACE LEE ELIZABETH MOORE LMT
436 N MAIN ST
WASILLA, AK 99654-7018
Phone number: 907-376-8020
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Mailing Address
Miss STACE LEE ELIZABETH MOORE LMT
PO BOX 876268
WASILLA, AK 99687-6268
Phone number: 907-775-3577
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