Provider Information for 1871141077
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ALAINE VIOLA LAGASSE
Sex: Female
NPI: 1871141077
Last Updated: 2019-08-30
Certification Date:
Certification Date:
Details
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NPI | 1871141077 | |||||||||||||||||||||||||||||||||||
Enumeration Date | 2019-08-30 | |||||||||||||||||||||||||||||||||||
NPI Type | NPI-1 Individual | |||||||||||||||||||||||||||||||||||
Sole Proprietor | NO | |||||||||||||||||||||||||||||||||||
Status | Active | |||||||||||||||||||||||||||||||||||
Mailing Address | KENAI VET CENTER 43299 KALIFORNSKY BEACH ROAD STE 4 SOLDOTNA, AK 99669 United States Phone: 907-260-7640 | Fax:907-260-7642 | |||||||||||||||||||||||||||||||||||
Primary Practice Address | KENAI VET CENTER 43299 KALIFORNSKY BEACH ROAD STE 4 SOLDOTNA, AK 99669 United States Phone: 907-260-7640 | Fax:907-260-7642 | |||||||||||||||||||||||||||||||||||
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