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1174288765
DEREK EDWARD PHELPS
MADISON, TN
NPI
1174288765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OH 452998)
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
DEREK EDWARD PHELPS RN
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-868-6503
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Mailing Address
DEREK EDWARD PHELPS RN
7871 BARRET RD
WEST CHESTER, OH 45069-2749
Phone number: 859-240-2780
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