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1114581568
DEREK BUI
PHOENIX, AZ
NPI
1114581568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
DEREK BUI DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
DEREK BUI DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number:
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