DERRICK GLEN OSOUP

PETERSBURG, AK
NPI1629830625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
DERRICK GLEN OSOUP
100 FRAM STREET
PETERSBURG, AK 99833
Phone number: 907-772-4963
Mailing Address
DERRICK GLEN OSOUP
PO BOX 433
PETERSBURG, AK 99833-0433
Phone number: 907-772-4963
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