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Contact Information

TAELYR AGA
591 S KNIK GOOSE BAY RD
WASILLA, AK99654-8062
 Phone: 907-313-1333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for TAELYR AGA · (Female)

NPI Number 1851057244
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2021
Last updated 11/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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