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1912468315
MICHAEL COWAN
WASILLA, AK
NPI
1912468315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 140245)
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
MICHAEL COWAN PTA
984 N MERIDIAN PL
WASILLA, AK 99654-7215
Phone number: 907-631-4029
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Mailing Address
MICHAEL COWAN PTA
3865 N PRESTON AVE
WASILLA, AK 99654-1350
Phone number: 904-607-9551
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