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1053169755
DEREK ANTHONY SELMSER
CHARLESTON, SC
NPI
1053169755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
DEREK ANTHONY SELMSER
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425-8903
Phone number: 843-792-3328
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Mailing Address
DEREK ANTHONY SELMSER
2378 SW VERMONT ST APT 5
PORTLAND, OR 97219-1971
Phone number: 661-904-7387
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