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1871903955
JORDAN MANELICK
WASILLA, AK
NPI
1871903955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-04-29
Last Update Date
2022-07-21
Business Address
-- JORDAN MANELICK
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8083
Phone number: 907-631-7800
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Mailing Address
-- JORDAN MANELICK
1001 KNIK GOOSE BAY RD
WASILLA, AK 99654
Phone number: 907-631-7800
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