Jay Randolph Dagenhart
Jay Randolph Dagenhart is a Case Manager/Care Coordinator in Wasilla, Alaska. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
591 S Knik Goose Bay RdWasilla, AK 99654-8062
Phone: (190) 731-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1396400685 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 2, 2021 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | November 2, 2021 |
| Mailing address | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 |
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