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1922115906
GINNIE M OLIVER
HOMER, AK
NPI
1922115906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK AA765)
Enumeration Date
2006-08-24
Last Update Date
2018-05-24
Business Address
-- GINNIE M OLIVER MOMT, PT
4141 PENNOCK ST
HOMER, AK 99603-7223
Phone number: 907-235-3410
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Mailing Address
-- GINNIE M OLIVER MOMT, PT
40589 MORNING STAR RD
HOMER, AK 99603-9470
Phone number: 907-223-1181
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