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1134586209
KRISTEEN DERRICK
LONG BEACH, CA
NPI
1134586209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-01-20
Last Update Date
2016-04-26
Business Address
-- KRISTEEN DERRICK
2865 ATLANTIC AVE SUITE 205
LONG BEACH, CA 90806-1740
Phone number: 562-988-9333
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Mailing Address
-- KRISTEEN DERRICK
17360 BROOKHURST ST ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708-3720
Phone number:
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