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Individual

CHRISTOPHER GRINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228
Mailing address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1004224

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171M00000X
AK
Enumeration date
05/20/2015
Last updated
05/20/2015
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