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1235108010
DEREK GAGNON
SAN DIEGO, CA
NPI
1235108010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 20565)
Enumeration Date
2006-03-15
Last Update Date
2007-07-08
Business Address
-- DEREK GAGNON M.D.
3985 CUMMINGS RD STE 4
SAN DIEGO, CA 92136-5218
Phone number: 619-572-8192
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Mailing Address
-- DEREK GAGNON M.D.
8301 RIO SAN DIEGO DR #21
SAN DIEGO, CA 92108-5686
Phone number:
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