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1871103275
JACALYN G STARK
ANCHORAGE, AK
NPI
1871103275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK 139347)
Enumeration Date
2020-07-31
Last Update Date
2020-07-31
Business Address
JACALYN G STARK SLP
3300 PROVIDENCE DR STE B201
ANCHORAGE, AK 99508-4621
Phone number: 907-212-3116
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Mailing Address
JACALYN G STARK SLP
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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