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DARCIE L KINGEEKUK CHA

Community Health >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1558923110

Individual Registrant:
 DARCIE L KINGEEKUK CHA
Gender: F
Sole Proprietor

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

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

Registration Information:
NPI: 1558923110
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QC1500XAmbulatory Health Care Facilities
Clinic/Center
Community Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPICHAAK01




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