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1598380784
DERRICK LAIN
ANCHORAGE, AK
NPI
1598380784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
DERRICK LAIN
7521 BRAYTON DR
ANCHORAGE, AK 99507-2667
Phone number: 907-929-5826
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Mailing Address
DERRICK LAIN
7521 BRAYTON DR
ANCHORAGE, AK 99507-2667
Phone number: 907-929-5826
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