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Individual

AUTUMN NUNIIQ AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHA-T

Contact information

Practice address
1000 GREG KRUSHEK AVE, NOME, AK 99762-9976
(907) 443-3311
(907) 443-3471
Mailing address
P.O. BOX 94, ST. MICHAEL, AK 99659
(907) 923-3311
(907) 923-2287

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CHA-T
CHA-T
AK
Enumeration date
08/30/2021
Last updated
08/30/2021
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