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Individual

MICHELLE SHEPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22490 BRI CIRCLE, NINILCHIK, AK 99639
(907) 255-5171
Mailing address
PO BOX 39890, NINILCHIK, AK 99639-0890
(907) 255-5171

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2213228
AK

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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