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1164790713
DEREK MARSHALL
CHARLESTON, WV
NPI
1164790713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-12-11
Last Update Date
2017-03-12
Business Address
Mr. DEREK MARSHALL
1316 VIRGINIA ST E
CHARLESTON, WV 25301-3054
Phone number: 800-225-5288
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Mailing Address
Mr. DEREK MARSHALL
1316 VIRGINIA ST E
CHARLESTON, WV 25301-3054
Phone number: 800-225-5288
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