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1750154779
MAGNOLIA MOANANU
ANCHORAGE, AK
NPI
1750154779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
MAGNOLIA MOANANU
3722 PARSONS AVE
ANCHORAGE, AK 99508-1216
Phone number: 907-201-9857
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Mailing Address
MAGNOLIA MOANANU
3722 PARSONS AVE
ANCHORAGE, AK 99508-1216
Phone number: 907-201-9857
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