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1255093647
DEREK BURYL HEMERICK
KIRTLAND AFB, NM
NPI
1255093647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2021-10-12
Last Update Date
2023-03-27
Business Address
DEREK BURYL HEMERICK PA-C
2050A 2ND ST NE
KIRTLAND AFB, NM 87108
Phone number: 505-843-3200
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Mailing Address
DEREK BURYL HEMERICK PA-C
2050A 2ND ST SE
KIRTLAND, NM 87108
Phone number: 505-846-3200
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