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1154721447
DEREK LANDES
COLUMBUS, OH
NPI
1154721447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.004164)
Enumeration Date
2014-08-25
Last Update Date
2021-05-26
Business Address
Mr. DEREK LANDES PA-C
750 MOUNT CARMEL MALL SUITE 300
COLUMBUS, OH 43222-1553
Phone number: 614-224-6420
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Mailing Address
Mr. DEREK LANDES PA-C
53 HANBY AVE
WESTERVILLE, OH 43081-1210
Phone number: 614-296-9167
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