Individual
DERERK DANIEL MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1072 DEE LN, NORTH POLE, AK 99705-5319
(907) 799-9135
Mailing address
1072 DEE LN, NORTH POLE, AK 99705-5319
(907) 799-9135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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