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MR. TRACY HODGES CARE COORDINATOR

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1245440262

Individual Registrant:
MR. TRACY  HODGES CARE COORDINATOR
Gender: M
Not Sole Proprietor

Location and contact information for practice:
700 KATLIAN ST STE B  SITKA, AK 99835-7359 US
Tel: 907-747-6960  Fax: 907-747-4868

Contact information for business:
700 KATLIAN ST STE B  SITKA, AK 99835-7359 US
Tel: 907-747-6960  Fax: 907-747-4868

Registration Information:
NPI: 1245440262
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CM3973AK05




HEALTH CARE JOBS AK - Page 1



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