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1124544150
DEREK N NANCE
PADUCAH, KY
NPI
1124544150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA2298)
Enumeration Date
2017-08-22
Last Update Date
2018-09-18
Business Address
DEREK N NANCE PAC
1530 LONE OAK RD
PADUCAH, KY 42003-7901
Phone number: 270-444-2150
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Mailing Address
DEREK N NANCE PAC
1530 LONE OAK RD
PADUCAH, KY 42003-7901
Phone number: 270-444-2150
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