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1114512514
JOHN DEROUIN
FORT WORTH, TX
NPI
1114512514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP145044)
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
JOHN DEROUIN
508 MISTY MOUNTAIN DR
FORT WORTH, TX 76140-7531
Phone number: 817-793-7398
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Mailing Address
JOHN DEROUIN
508 MISTY MOUNTAIN DR
FORT WORTH, TX 76140-7531
Phone number:
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