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1972955532
JACQUELINE GERRISH
WASILLA, AK
NPI
1972955532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 111149)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- JACQUELINE GERRISH
401 S WASILLA ST UNIT 26
WASILLA, AK 99654-8173
Phone number: 907-982-5039
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Mailing Address
-- JACQUELINE GERRISH
401 S WASILLA ST UNIT 26
WASILLA, AK 99654-8173
Phone number: 907-982-5039
Copy
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