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1770723173
LYNNE C DEBOLT
WASILLA, AK
NPI
1770723173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AK 1799)
Enumeration Date
2009-02-24
Last Update Date
2011-08-10
Business Address
-- LYNNE C DEBOLT OTR/L
540 NORTH PINE RIDGE LOOP
WASILLA, AK 99654
Phone number: 907-373-4943
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Mailing Address
-- LYNNE C DEBOLT OTR/L
PO BOX 872093
WASILLA, AK 99687-2093
Phone number: 907-373-4943
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