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1376200246
CHAD-MICHAEL SHANE GANEY
WASILLA, AK
NPI
1376200246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-11-26
Last Update Date
2021-11-26
Business Address
CHAD-MICHAEL SHANE GANEY
1365 E PARKS HWY
WASILLA, AK 99654-8298
Phone number: 907-357-6445
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Mailing Address
CHAD-MICHAEL SHANE GANEY
1365 E PARKS HWY
WASILLA, AK 99654-8298
Phone number: 907-357-6445
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