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1942991930
ISMAEL LACANLALE
ANCHORAGE, AK
NPI
1942991930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 202494)
Enumeration Date
2023-05-19
Last Update Date
2023-06-21
Business Address
ISMAEL LACANLALE PTA
4100 LAKE OTIS PKWY STE 106
ANCHORAGE, AK 99508-5230
Phone number: 907-563-4115
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Mailing Address
ISMAEL LACANLALE PTA
4400 W LAKE CIR
ANCHORAGE, AK 99502-4910
Phone number: 907-887-9802
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