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1952174245
KATIE TALLENT MAXWELL
SOLDOTNA, AK
NPI
1952174245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 191587)
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
KATIE TALLENT MAXWELL LMT
43335 KALIFORNSKY BEACH RD STE 16H
SOLDOTNA, AK 99669-8250
Phone number: 907-953-7874
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Mailing Address
KATIE TALLENT MAXWELL LMT
53140 N SHORE CT
KENAI, AK 99611-9642
Phone number: 907-953-7874
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