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1144002346
DEREKE BOGIER
MIDLOTHIAN, TX
NPI
1144002346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1134798)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
DEREKE BOGIER
4610 RAWHIDE TRL
MIDLOTHIAN, TX 76065-9458
Phone number: 817-937-7817
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Mailing Address
DEREKE BOGIER
PO BOX 575
MIDLOTHIAN, TX 76065-0575
Phone number: 817-937-7817
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