Individual
DEANNA LEIGH KOSBRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-1
Contact information
Practice address
MILE 111.5, COPPER CENTER, AK 99573-0508
(907) 822-5241
(888) 959-2389
Mailing address
PO BOX H, COPPER CENTER, AK 99573-0508
(907) 822-5241
(888) 959-2389
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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