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Mark Dinelt

Case Manager/Care Coordinator in Fairbanks, AK. Individual provider (NPI-1).

NPI number1194354639
StatusActive
Last updated in NPPESApr 6, 2020

Details

NPI
1194354639
Entity type
Individual (NPI-1)
Name
Mark Dinelt
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2020
Certification date
Apr 6, 2020
Last updated
Apr 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1825 Marika Rd
Fairbanks, AK 99709-5521

Phone 907-474-0890 · Fax 907-474-3621

Mailing address

1825 Marika Rd
Fairbanks, AK 99709-5521

Phone 907-474-0890 · Fax 907-474-3621

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