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Jerri Linda Moran-Gentle

Massage Therapist in Bethel, AK. Individual provider (NPI-1).

NPI number1639730484
StatusActive
Last updated in NPPESJun 24, 2019

Details

NPI
1639730484
Entity type
Individual (NPI-1)
Name
Jerri Linda Moran-Gentle
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2019
Last updated
Jun 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist101614AKYes

Practice location

430 A 7th Ave
Bethel, AK 99559

Phone 907-545-7307

Mailing address

Po Box 1648
Bethel, AK 99559-1648

Phone 907-545-7307

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