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1831889310
ANGELA PENA
EAGLE RIVER, AK
NPI
1831889310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: AK 209035)
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
ANGELA PENA
12812 OLD GLENN HWY STE B2
EAGLE RIVER, AK 99577-7002
Phone number: 907-290-9595
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Mailing Address
ANGELA PENA
2031 E 74TH AVE # 13A
ANCHORAGE, AK 99507-2774
Phone number: 907-215-0247
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