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1003339920
DERICK THOMAS
PADUCAH, KY
NPI
1003339920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2242)
Enumeration Date
2017-07-23
Last Update Date
2024-07-01
Business Address
DERICK THOMAS PA-C
2603 KENTUCKY AVE STE 102
PADUCAH, KY 42003-3815
Phone number: 270-228-3973
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Mailing Address
DERICK THOMAS PA-C
2603 KENTUCKY AVE STE 102
PADUCAH, KY 42003-3815
Phone number: 270-228-3973
Copy
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