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1700391885
JENNIFER ILENE DEGRAFFENRIED
WASILLA, AK
NPI
1700391885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 127543)
Enumeration Date
2017-12-11
Last Update Date
2017-12-11
Business Address
JENNIFER ILENE DEGRAFFENRIED LMT
436 N MAIN ST
WASILLA, AK 99654-7018
Phone number: 907-376-8020
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Mailing Address
JENNIFER ILENE DEGRAFFENRIED LMT
1788 E NEIL CIR APT 3
WASILLA, AK 99654-8241
Phone number: 907-717-5652
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