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CHANTAL MIKLAHOOK CHA

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1326594912

Individual Registrant:
 CHANTAL  MIKLAHOOK CHA
Gender: F
Sole Proprietor

Location and contact information for practice:
AIRPORT ROAD 151  SAVOONGA, AK 99769-0151 US
Tel: 907-984-6513  Fax: 907-984-6068

Contact information for business:
AIRPORT ROAD 151  SAVOONGA, AK 99769-0151 US
Tel: 907-984-6513  Fax: 907-984-6068

Registration Information:
NPI: 1326594912
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHACHAAK01




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