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1093001422
PERIKA SHAUGN DEROCHE
JOHNSON CITY, NY
NPI
1093001422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
Dr. PERIKA SHAUGN DEROCHE MD
40 ARCH ST
JOHNSON CITY, NY 13790-2102
Phone number: 607-763-6075
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Mailing Address
Dr. PERIKA SHAUGN DEROCHE MD
40 ARCH ST
JOHNSON CITY, NY 13790-2102
Phone number: 607-763-6075
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