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Individual

TIFFANY MAHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3869 CAROLINE ST, SUITE A, AUKE BAY, AS 99821
(907) 789-3941
(907) 790-3942
Mailing address
PO BOX 210884, AUKE BAY, AK 99821-0884
(907) 789-3941
(907) 790-3942

Taxonomy

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

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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