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1124066527
DEREK PRAINORUT JAKES
GREENVILLE, SC
NPI
1124066527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC 27795)
Enumeration Date
2006-06-04
Last Update Date
2023-03-07
Business Address
Dr. DEREK PRAINORUT JAKES M.D.
1210 W FARIS RD
GREENVILLE, SC 29605-4444
Phone number: 864-522-1800
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Mailing Address
Dr. DEREK PRAINORUT JAKES M.D.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8614
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