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1265934913
DERRICK TRENT
NEW YORK, NY
NPI
1265934913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: NY 006211-1)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
DERRICK TRENT L.Ac
626 RIVERSIDE DR APT 21C
NEW YORK, NY 10031-7230
Phone number: 212-419-4904
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Mailing Address
DERRICK TRENT L.Ac
626 RIVERSIDE DR APT 21C
NEW YORK, NY 10031-7230
Phone number: 212-419-4904
Copy
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