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1003886805
AIDAN H DERENNE
VANCOUVER, WA
NPI
1003886805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: WA MD00037036)
Enumeration Date
2006-01-24
Last Update Date
2007-07-10
Business Address
-- AIDAN H DERENNE MD
505 NE 87TH AVE STE 120
VANCOUVER, WA 98664-1989
Phone number: 360-892-1635
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Mailing Address
-- AIDAN H DERENNE MD
505 NE 87TH AVE STE 120
VANCOUVER, WA 98664-1989
Phone number: 360-892-1635
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