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Individual

STEPHANIE BRENTESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 AIRPORT WAY, AKHIOK, AK 99615
(907) 836-2230
Mailing address
PO BOX 5009, AKHIOK, AK 99615-5009
(907) 836-2230

Taxonomy

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

Other

Enumeration date
03/14/2019
Last updated
03/14/2019
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