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Individual

GRACEANN C ATCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHA-I

Contact information

Practice address
50 SCHOOL BLVD., STEBBINS, AK 99671-0050
(907) 934-3311
(907) 934-3312
Mailing address
P.O. BOX 50, STEBBINS, AK 99671-0050
(907) 934-3311
(907) 934-3312

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CHA-I
CHA-I
AK
Enumeration date
08/08/2019
Last updated
08/08/2019
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