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1942368857
JACK L WADE
WASILLA, AK
NPI
1942368857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1762)
Enumeration Date
2006-12-04
Last Update Date
2007-07-09
Business Address
-- JACK L WADE PT
3035 PALMER WASILLA HWY STE 401
WASILLA, AK 99654-7274
Phone number: 907-376-8590
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Mailing Address
-- JACK L WADE PT
3035 PALMER WASILLA HWY STE 401
WASILLA, AK 99654-7234
Phone number: 907-376-8590
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