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1053326520
DARRIN W DEREU
RALEIGH, NC
NPI
1053326520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 0805)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
DARRIN W DEREU ATC
N CAROLINA STATE UNIVERSITY 2500 WARREN CARROL DRIVE, BOX 8502
RALEIGH, NC 27695-8502
Phone number: 919-513-7295
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Mailing Address
DARRIN W DEREU ATC
3404 SOSA RD
RALEIGH, NC 27610-4097
Phone number: 919-513-7295
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