JOSPEH PROVO

PALMER, AK
NPI1912658949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: AK  185638)
Enumeration Date2022-01-11
Last Update Date2022-01-11
Business Address
JOSPEH PROVO MT
108 E ARCTIC AVE
PALMER, AK 99645-6254
Phone number: 907-745-4357
Mailing Address
JOSPEH PROVO MT
108 E ARCTIC AVE
PALMER, AK 99645-6254
Phone number: 907-745-4357
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