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SARA JOHNEE ELMA SEETOT

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1851724058

Individual Registrant:
 SARA JOHNEE ELMA SEETOT 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
WEST CLARENCE STREET  BREVIG MISSION, AK 99785 US
Tel: 907-642-4311  Fax: 907-642-2216

Contact information for business:
WEST CLARENCE STREET  BREVIG MISSION, AK 99785 US
Tel: 907-642-4311  Fax: 907-642-2216

Registration Information:
NPI: 1851724058
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK05-748-P

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHP05-748-P01




HEALTH CARE JOBS AK - Page 1



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