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1730323429
CHARLEMAGNE MARIE MCMULLEN
NANWALEK, AK
NPI
1730323429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AK 07-937-P)
Enumeration Date
2009-04-24
Last Update Date
2012-05-23
Business Address
Mrs. CHARLEMAGNE MARIE MCMULLEN CHP-C
8023 MAIN STREET
NANWALEK, AK 99603
Phone number: 907-224-4908
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Mailing Address
Mrs. CHARLEMAGNE MARIE MCMULLEN CHP-C
PO BOX 8023
NANWALEK, AK 99603-6623
Phone number: 907-281-2250
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