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Individual

DEREK MATTHEW CHALIFOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1113 W FIREWEED LN STE 100, ANCHORAGE, AK 99503-1753
(907) 272-2700
Mailing address
3302 WOODLAND PARK DR, ANCHORAGE, AK 99517-2109
(907) 240-4381

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
04/05/2022
Last updated
08/25/2022
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