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Individual

SARA A MACDOUGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHA

Contact information

Practice address
MILE 28.5 EDGERTON HWY, CHITINA, AK 99566
(907) 823-2213
(907) 823-2257
Mailing address
PO BOX 31, CHITINA, AK 99566-0031
(907) 823-2213
(907) 823-2257

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17-1484-II
AK

Other

Enumeration date
05/11/2018
Last updated
05/11/2018
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