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Individual

PATSY E HURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21659A SONGBIRD DR, CHUGIAK, AK 99567-5615
(907) 373-1000
(888) 588-5194
Mailing address
21659A SONGBIRD DR, CHUGIAK, AK 99567-5615
(907) 373-1000
(888) 588-5194

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
12345
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12345
AK
Enumeration date
10/05/2019
Last updated
10/05/2019
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