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1245923424
DEREK FENTON
OGDENSBURG, NY
NPI
1245923424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351949)
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
DEREK FENTON
102 FORD ST
OGDENSBURG, NY 13669-1402
Phone number: 315-713-9350
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Mailing Address
DEREK FENTON
102 FORD ST
OGDENSBURG, NY 13669-1402
Phone number:
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