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1689835050
JOHN RICHARD ELLENBECKER
JUNEAU, AK
NPI
1689835050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AK AA0546)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Dr. JOHN RICHARD ELLENBECKER D.D.S.
2211 JORDAN AVE
JUNEAU, AK 99801-8050
Phone number: 907-789-3696
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Mailing Address
Dr. JOHN RICHARD ELLENBECKER D.D.S.
2211 JORDAN AVE
JUNEAU, AK 99801-8050
Phone number: 907-789-3696
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