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Organization

VALDEZ SENIOR CITIZEN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON GAIL KESSE BHS (PROGRAM MANGER)
(907) 835-5032
Entity
Organization

Contact information

Practice address
1300 E HANAGITA, VALDEZ, AK 99686-1300
(907) 835-5032
Mailing address
1300 E HANAGITA, VALDEZ, AK 99686
(907) 835-5032

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CMG6646
AK
Enumeration date
06/17/2008
Last updated
06/17/2008
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