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MR. BILLY DAVID SHORTLAND CHAP

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1982831350

Individual Registrant:
MR. BILLY DAVID SHORTLAND CHAP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
214 DING HOW LANE BOX 51 OLD HARBOR, AK 99643 US
Tel: 907-286-2232  Fax: --

Contact information for business:
214 DING HOW LANE BOX 51 OLD HARBOR, AK 99643 US
Tel: 907-286-2232  Fax: --

Registration Information:
NPI: 1982831350
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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