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CAROL D BROWN BHA1

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1588901888

Individual Registrant:
 CAROL D BROWN BHA1
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2 COUNCIL STREET  EEK, AK 99578 US
Tel: 907-536-5314  Fax: 907-536-5732

Contact information for business:
P.O. BOX 69  EEK, AK 99578 US
Tel: 907-536-5314  Fax: 907-536-5732

Registration Information:
NPI: 1588901888
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1020986AK05




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