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1891204400
KENNETH BLACKWELL
ANCHORAGE, AK
NPI
1891204400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 101917)
Enumeration Date
2017-09-26
Last Update Date
2018-06-16
Business Address
KENNETH BLACKWELL LMT
3310 ARCTIC BLVD STE 102
ANCHORAGE, AK 99503-4576
Phone number: 907-297-8679
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Mailing Address
KENNETH BLACKWELL LMT
208 E 23RD AVE
ANCHORAGE, AK 99503-2012
Phone number: 907-297-8679
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