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Individual

DAVID HULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
460 RIDGECREST, BETHEL, AK 99559
(907) 543-6100
(907) 543-6008
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6008

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002447
AK
Enumeration date
08/12/2011
Last updated
12/12/2013
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