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1962842260
PEBBLES DAKOTA SHANLEY
ANCHORAGE, AK
NPI
1962842260
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Former Name
PEBBLES DAKOTA CODY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AK 108535)
Enumeration Date
2013-07-01
Last Update Date
2020-10-02
Business Address
PEBBLES DAKOTA SHANLEY M.D.
1201 E 36TH AVE
ANCHORAGE, AK 99508-4372
Phone number: 907-562-9229
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Mailing Address
PEBBLES DAKOTA SHANLEY M.D.
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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