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NICOLE GREGORY

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1043647894

Individual Registrant:
 NICOLE  GREGORY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1/2 MILE ANTOSKI RD  GALENA, AK 99741 US
Tel: 907-656-1617  Fax: --

Contact information for business:
1/2 MILE ANTOSKI RD  GALENA, AK 99741 US
Tel: --  Fax: --

Registration Information:
NPI: 1043647894
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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