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Individual

JUSTIN EVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHA

Contact information

Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(725) 599-2183
Mailing address
PO BOX 3427, BETHEL, AK 99559-3427
(907) 543-6319
(907) 543-6319

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
25-1807-I
AK

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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