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1134449127
DEREK EMERSON BLANK
GREENVILLE, NC
NPI
1134449127
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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
2010-06-02
Last Update Date
2010-06-02
Business Address
-- DEREK EMERSON BLANK D.D.S
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-744-4618
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Mailing Address
-- DEREK EMERSON BLANK D.D.S
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-744-4618
Copy
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