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1770984965
DARRICK LLOYD WAUGH
BETHEL, AK
NPI
1770984965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 2841)
Enumeration Date
2014-09-08
Last Update Date
2014-09-08
Business Address
-- DARRICK LLOYD WAUGH DPT
108 A BLACKBERRY ST
BETHEL, AK 99559-9800
Phone number: 907-543-7601
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Mailing Address
-- DARRICK LLOYD WAUGH DPT
PO BOX 3466 108 A BLACKBERRY DR
BETHEL, AK 99559
Phone number: 907-543-7601
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