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MS. CHERYL LYNNE PAGE PCA

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1720369374

Individual Registrant:
MS. CHERYL LYNNE PAGE PCA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12370 W BENCH LAKE DR  HOUSTON, AK 99694 US
Tel: 907-892-1112  Fax: 907-892-1102

Contact information for business:
PO BOX 876346  WASILLA, AK 99687-6346 US
Tel: 907-715-8570  Fax: 907-892-1102

Registration Information:
NPI: 1720369374
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1

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