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MRS. SUSAN CATHERINE HANSON BHA

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1508999483

Individual Registrant:
MRS. SUSAN CATHERINE HANSON BHA
Gender: F
Sole Proprietor

Location and contact information for practice:
MILEPOST 125 TOK CUT OFF  TOK, AK 99780 US
Tel: 907-883-5185  Fax: 907-883-4332

Contact information for business:
PO BOX 83  TOK, AK 99780-0083 US
Tel: 907-883-5185  Fax: 907-883-4332

Registration Information:
NPI: 1508999483
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1

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