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1023789005
DERICK MITCHELL HASS
WASILLA, AK
NPI
1023789005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
DERICK MITCHELL HASS
3750 E COUNTRY FIELD CIR STE A
WASILLA, AK 99654-6659
Phone number: 907-376-7334
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Mailing Address
DERICK MITCHELL HASS
3750 E COUNTRY FIELD CIR STE A
WASILLA, AK 99654-6659
Phone number: 907-376-7334
Copy
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