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Individual

VIRGINIA L NASSUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHA-T

Contact information

Practice address
KOYUK CLINIC, P.O. BOX 70, KOYUK, AK 99753-0070
(907) 963-3311
(907) 963-3610
Mailing address
1000 GREG KRUSHEK AVE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-3471

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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