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Individual

WILFRED DENNIS WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHP

Contact information

Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8656
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8656

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MDG632
AK
Enumeration date
11/08/2011
Last updated
11/08/2011
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