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1114696978
DEREK JOHN MACFARLANE
WARREN, MI
NPI
1114696978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
Mr. DEREK JOHN MACFARLANE
12200 E 13 MILE RD # 200
WARREN, MI 48093-3093
Phone number: 586-573-1810
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Mailing Address
Mr. DEREK JOHN MACFARLANE
12200 E 13 MILE RD # 200
WARREN, MI 48093-3093
Phone number: 586-573-1810
Copy
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