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MR. GLENN ERNEST TEPASKE

>> Chore Provider >> Nursing Service Related Providers

Registrant NPI Number: 1710017629

Individual Registrant:
MR. GLENN ERNEST TEPASKE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
128 SCENEGA  GLENNALLEN, AK 99588 US
Tel: 907-822-3384  Fax: 907-822-5484

Contact information for business:
PO BOX 511  GLENNALLEN, AK 99588-0511 US
Tel: 907-822-5950  Fax: --

Registration Information:
NPI: 1710017629
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X372500000XNursing Service Related Providers
Chore Provider
X372600000XNursing Service Related Providers
Adult Companion
X373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist
X3747A0650XNursing Service Related Providers
Technician
X3747P1801XNursing Service Related Providers
Technician
X374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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