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Individual
ROY E. PACK JR.
Active
Individual
ROY E. PACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS.
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MT
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
05/19/2011
Last updated
10/12/2022
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