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1073836342
DEREK ALAN LEIST
BRENTWOOD, TN
NPI
1073836342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NR0400X
(Licence: TN 2649)
Enumeration Date
2010-03-01
Last Update Date
2015-12-10
Business Address
Dr. DEREK ALAN LEIST D.C.
204 WARD CIR SUITE 300
BRENTWOOD, TN 37027-7551
Phone number: 615-636-5923
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Mailing Address
Dr. DEREK ALAN LEIST D.C.
204 WARD CIR SUITE 300
BRENTWOOD, TN 37027-7551
Phone number: 615-636-5923
Copy
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