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JOHANNA COGHILL CHA IV

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1710258645

Individual Registrant:
 JOHANNA  COGHILL CHA IV
Gender: F
Not Sole Proprietor

Location and contact information for practice:
806 G ST.  NENANA, AK 99760 US
Tel: 907-832-5247  Fax: --

Contact information for business:
806 G ST.  NENANA, AK 99760 US
Tel: 907-832-5247  Fax: --

Registration Information:
NPI: 1710258645
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK10-1083-IV

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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