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Channa Koozaata

NPI 1053653691 · on the registry since 2013

Practice

Address
190 Gravel Road
Gambell, AK 99742
Phone
(907) 985-5012
Fax
(907) 985-5085

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska