BLAINE UPHAM DC PC
Chiropractic in Wasilla, AK

License number
Alaska 584
Category
Chiropractic
Type
Chiropractor
Owner
Name: BLAINE UPHAM DC
Title: PRESIDENT
Phone: (907) 357-6688
Address
Address
5461 E Mayflower Ln Suite #6, Wasilla, AK 99654
National Provider ID: 1598179210
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Blaine Upham, D.C., PC

5461 E Mayflower Ln #6, Wasilla, AK 99654

Doing business as:
Blaine Upham DC
Registration:
Dec 17, 2013
Phone:
(907) 357-6688 (Phone), (907) 357-9655 (Fax)
State ID:
10017686
Business type:
Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Blaine Upham (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Categories:
Chiropractors

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