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DONALD MAX PLEASANT CHA-T

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1104449636

Individual Registrant:
 DONALD MAX PLEASANT CHA-T
Gender: M
Sole Proprietor

Location and contact information for practice:
AIRPORT ROAD  UNALAKLEET, AK 99684-0000 US
Tel: 907-624-3535  Fax: 907-624-3692

Contact information for business:
PO BOX 966  NOME, AK 99762-0966 US
Tel: 907-624-3535  Fax: 907-624-3692

Registration Information:
NPI: 1104449636
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHA-TCHA-TAK01




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