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1720568611
SHELBY RAE JIMENEZ
WASILLA, AK
NPI
1720568611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 116806)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
SHELBY RAE JIMENEZ PTA
3190 E MERIDIAN PARK LOOP STE 206A
WASILLA, AK 99654-7422
Phone number: 907-373-9462
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Mailing Address
SHELBY RAE JIMENEZ PTA
4130 N PRESTON AVE
WASILLA, AK 99654-1352
Phone number: 907-414-4392
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