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1942848155
ANGELA STARK
WASILLA, AK
NPI
1942848155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AK RBT19108430)
Enumeration Date
2019-12-18
Last Update Date
2019-12-18
Business Address
ANGELA STARK RBT
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-521-0890
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Mailing Address
ANGELA STARK RBT
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-521-0890
Copy
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