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1255981601
DEREK SMITH
ARDMORE, OK
NPI
1255981601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 102505)
Enumeration Date
2019-09-18
Last Update Date
2022-01-18
Business Address
DEREK SMITH APRN-CNP
1104 WALNUT DR
ARDMORE, OK 73401-2353
Phone number: 580-226-0543
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Mailing Address
DEREK SMITH APRN-CNP
20 12TH AVE NW
ARDMORE, OK 73401-5722
Phone number: 580-223-3411
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