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HELENA MARY LOIS BOCK COMMUNITY HEALTH AID

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

Registrant NPI Number: 1457610230

Individual Registrant:
 HELENA MARY LOIS BOCK COMMUNITY HEALTH AID
Gender: F
Sole Proprietor

Location and contact information for practice:
15765 KINGSLEY ROAD  NINILCHIK, AK 99639-9368 US
Tel: 907-567-3970  Fax: 907-567-3902

Contact information for business:
15765 KINGSLEY ROAD  NINILCHIK, AK 99639-9368 US
Tel: 907-567-3970  Fax: 907-567-3902

Registration Information:
NPI: 1457610230
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QC1500XAmbulatory Health Care Facilities
Clinic/Center
Community Health
AK99-206-IV

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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