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1114356607
DEREK PECHACEK
O FALLON, IL
NPI
1114356607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-010889)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- DEREK PECHACEK FNP-C
320 E HIGHWAY 50
O FALLON, IL 62269-2704
Phone number: 618-624-3368
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Mailing Address
-- DEREK PECHACEK FNP-C
2804 LAKESIDE DR
COLUMBIA, IL 62236-2681
Phone number:
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