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1114320959
DEREK B CARPENTER
CASA GRANDE, AZ
NPI
1114320959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 5816)
Enumeration Date
2014-10-08
Last Update Date
2018-05-18
Business Address
DEREK B CARPENTER PA-C
865 N ARIZOLA RD
CASA GRANDE, AZ 85122
Phone number: 520-836-3446
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Mailing Address
DEREK B CARPENTER PA-C
PO BOX 10097
CASA GRANDE, AZ 85130-0020
Phone number: 520-350-7651
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