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1205947439
JEFFREY CLINE DERICKSON
TUCSON, AZ
NPI
1205947439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ 2369)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY CLINE DERICKSON D.D.S.
762 N COUNTRY CLUB RD
TUCSON, AZ 85716-4535
Phone number: 520-327-5993
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Mailing Address
Dr. JEFFREY CLINE DERICKSON D.D.S.
762 N COUNTRY CLUB RD
TUCSON, AZ 85716-4535
Phone number: 520-327-5993
Copy
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