Odell Alexandria Gregoire, LMT

NPI #1225286057 in Anchorage, Alaska

Provider Information

NPI Number: 1225286057
Entity Type: Individual
Name: Odell Alexandria Gregoire, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Sep 4, 2008
Last Updated: Sep 4, 2008

Practice Location

Address: 5901 ARCTIC BLVD
Address 2: UNIT D
City: Anchorage
State: Alaska
ZIP Code: 99518-1677
Phone: (907) 317-1969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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