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1568914125
DEREK W BRASCH
ANCHORAGE, AK
NPI
1568914125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: AK 111032)
Enumeration Date
2016-10-31
Last Update Date
2018-06-07
Business Address
Mr. DEREK W BRASCH LMT
626 CORDOVA ST STE 105
ANCHORAGE, AK 99501-3783
Phone number: 907-277-5525
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Mailing Address
Mr. DEREK W BRASCH LMT
626 CORDOVA ST STE 105
ANCHORAGE, AK 99501-3783
Phone number: 907-277-5525
Copy
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